MEDICARE: MS. LINDA RUTH BARNETT OTR

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
1	225XE0001X	Environmental Modification Occupational Therapist
2	225XP0019X	Physical Rehabilitation Occupational Therapist
3	225XP0200X	Pediatric Occupational Therapist
4	225X00000X	Occupational Therapist	107244	TX

General Provider Information

NPI Number	:	1780932392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA RUTH BARNETT OTR

Provider Business Mailing Address
First Line	:	2641 SWIFT CREEK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2127
Country	:	US
Telephone Number	:	817-812-9298
Fax Number	:

Provider Business Practice Location Address
First Line	:	2641 SWIFT CREEK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2127
Country	:	US
Telephone Number	:	817-812-9298
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	01/27/2021

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