Kelsey Jo Barbour

Individual provider Active NPI Occupational Therapy Assistant · Lanexa, VA

NPI 1255889796 · NPPES record last updated Sep 13, 2016

Key facts

NPI
1255889796
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
0131001626 (VA)
Practice address
15531 Diascund Pointe TRL
Lanexa, VA 23089-6032
Phone
(804) 699-0090
NPI assigned
Sep 13, 2016
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
0131001626VAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0131001626 VA Yes

Addresses

Primary practice location

15531 Diascund Pointe TRL
Lanexa, VA 23089-6032

Mailing address

15531 Diascund Pointe TRL
Lanexa, VA 23089-6032
Phone (804) 699-0090

Other providers in Lanexa, VA

All providers in Lanexa, VA · Occupational Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.