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NPI Code Detail

MEDICARE: LAURIE BARNUM PT, OCS

MEDICARE: LAURIE BARNUM PT, OCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT28249CA
2225100000XPhysical Therapist030093NY

General Provider Information

NPI Number : 1639143563
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE BARNUM PT, OCS
Provider Business Mailing Address
First Line : 1377 MOTOR PKWY
Second Line : STE 307
City : ISLANDIA
State : NY
Zip : 11749-5258
Country : US
Telephone Number : 631-580-5200
Fax Number :
Provider Business Practice Location Address
First Line : 1910 SOUTH RD
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-6027
Country : US
Telephone Number : 845-454-0120
Fax Number : 845-454-6080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 06/22/2018

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Directions to “ LAURIE BARNUM PT, OCS” Practice Location

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