Rachel Diana Barbagallo, OTR
Individual provider Active NPI Occupational Therapist · Desloge, MO
NPI 1164588836 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164588836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2006028507 (MO)
- Practice address
- 801 Brim St
Desloge, MO 63601-3441 - Phone
- (573) 431-0223
- NPI assigned
- Dec 28, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006028507 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2006028507 | MO | Yes |
Addresses
Primary practice location
801 Brim St
Desloge, MO 63601-3441
Mailing address
8594 Patterson Rd
Barnhart, MO 63012-2717
Phone (636) 475-3600
Other providers in Desloge, MO
- Debbie Anderson
- Kim Rynee Ballinger
- Amy Rebecca Barbee
- Lola Anne Barnes
- William Barton
- Gay Ampo Bigcas
- Krystal J. Braun
All providers in Desloge, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.