Brooke Deann Barry
Individual provider Active NPI Gerontology Occupational Therapist · Oxford, MI
NPI 1174093777 · NPPES record last updated Nov 27, 2018
Key facts
- NPI
- 1174093777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Occupational Therapist 225XG0600X
- License
- 5201003232 (MI)
- Practice address
- 941 Woodside Dr
Oxford, MI 48371-6720 - Phone
- (248) 961-3122
- NPI assigned
- Nov 27, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201003232 | MI | MD | Gerontology Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 5201003232 | MI | Yes |
Addresses
Primary practice location
941 Woodside Dr
Oxford, MI 48371-6720
Mailing address
941 Woodside Dr
Oxford, MI 48371-6720
Phone (248) 961-3122
Other practice location 1
941 Woodside Dr
Oxford, MI 48371-6720
Phone (248) 961-3122
Other providers in Oxford, MI
- Jacqueline Paige Babcock
- Cynthia Bady
- Lisa Marie Ballerini
- Rachel Lauren Barker
- Sabrina Barretta
- Julie Anne Bartlett
- Abraham Martin Beatty
- Craig A Beaulieu
- Elizabeth M Becker
- Kendall Bell
All providers in Oxford, MI · Gerontology Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2018. 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.