Doctor Name: | MS. KATHLEEN BARNES CORPUS |
NPI Number: | 1053502419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, CDRS |
License Number: | OT000157 |
Business Practice Address: | 6135 Roosevelt Hwy Warm Springs, GA - 31830 |
Business Phone Number: | 7066555075 |
Business Fax Number: | 7066555317 |
Mailing Address: | 6135 Roosevelt Hwy, WARM SPRINGS |
State: | GA |
Postal Code: | 31830 |
Phone Number: | 7066555075 |
Fax Number: | 7066555317 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT000157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |