Doctor Name: | AMANDA BARNES |
NPI Number: | 1194129783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 09742 |
Business Practice Address: | 4308 Harlem Rd Galena, OH - 430219347 |
Business Phone Number: | 4407595948 |
Business Fax Number: | |
Mailing Address: | 4308 Harlem Rd, GALENA |
State: | OH |
Postal Code: | 430219347 |
Phone Number: | 4407595948 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 09742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |