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NPI Code Detail

MEDICARE: JAMES D BARBER OTR L

MEDICARE: JAMES D BARBER OTR L
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
1225X00000XOccupational TherapistOTR-550WY
2225X00000XOccupational Therapist1541OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00200926OTHERWYRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3311893OTHERWYBCBS

General Provider Information

NPI Number : 1639161540
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES D BARBER OTR L
Provider Business Mailing Address
First Line : 607 SW CHAUCER WAY
Second Line :
City : LAWTON
State : OK
Zip : 73505-7408
Country : US
Telephone Number : 580-647-1567
Fax Number :
Provider Business Practice Location Address
First Line : 2150 W ELK AVE
Second Line :
City : DUNCAN
State : OK
Zip : 73533-1827
Country : US
Telephone Number : 580-251-8460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 04/21/2024

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