Rene' Barlow, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Hanoverton, OH

NPI 1134522030 · NPPES record last updated Oct 6, 2014

Key facts

NPI
1134522030
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
05837 (OH)
Practice address
32272 Fantale St
Hanoverton, OH 44423-8624
Phone
(330) 222-0260
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
No

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
05837OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 05837 OH Yes

Addresses

Primary practice location

32272 Fantale St
Hanoverton, OH 44423-8624

Mailing address

32272 Fantale St
Hanoverton, OH 44423-8624
Phone (330) 222-0260

Other providers in Hanoverton, OH

All providers in Hanoverton, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.