Patricia Barnes

Individual provider Active NPI Pediatric Rehabilitation Medicine Physician · Alamosa, CO

NPI 1124397112 · NPPES record last updated Dec 20, 2011

Key facts

NPI
1124397112
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Rehabilitation Medicine Physician 2081P0010X
License
2161 (CO)
Practice address
703 4TH St
Alamosa, CO 81101-2524
Phone
(719) 589-5135
Fax
(719) 589-0680
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2161COMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 2161 CO Yes

Addresses

Primary practice location

703 4TH St
Alamosa, CO 81101-2524

Mailing address

10500 County Road 45
Center, CO 81125-9346

Other providers in Alamosa, CO

All providers in Alamosa, CO · Pediatric Rehabilitation Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.