MEDICARE: TERRA BARTON

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	225200000X	Physical Therapy Assistant	7029	AL

General Provider Information

NPI Number	:	1831951482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRA BARTON

Provider Business Mailing Address
First Line	:	3626 MADOLYN LN
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-4714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3626 MADOLYN LN
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-4714
Country	:	US
Telephone Number	:	601-307-9993
Fax Number	:

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

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Directions to “ TERRA BARTON ” Practice Location

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