Haley Barry, OTR

Individual provider Active NPI Occupational Therapist · Russellville, AR

NPI 1669924155 · NPPES record last updated Oct 31, 2016

Key facts

NPI
1669924155
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR2878 (AR)
Practice address
1915 W Main St
Russellville, AR 72801-2725
Phone
(479) 968-1198
Fax
(479) 967-1178
NPI assigned
Oct 31, 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
OTR2878ARMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR2878 AR Yes

Addresses

Primary practice location

1915 W Main St
Russellville, AR 72801-2725

Mailing address

1915 W Main St
Russellville, AR 72801-2725
Phone (479) 968-1198

Other providers in Russellville, AR

All providers in Russellville, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.