Doctor Name: | BARRY CLAY POOLE |
NPI Number: | 1073859682 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L, CHT |
License Number: | 3271 |
Business Practice Address: | 233 Winding Oaks Dr Seneca, SC - 296720766 |
Business Phone Number: | 8649858180 |
Business Fax Number: | |
Mailing Address: | 233 Winding Oaks Dr, SENECA |
State: | SC |
Postal Code: | 296720766 |
Phone Number: | 8649858180 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2012 |
NPI Last Update Date: | 12/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 3271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |