Lola Anne Barnes, MOTR/L

Individual provider Active NPI Occupational Therapist · Desloge, MO

NPI 1699022541 · NPPES record last updated Aug 9, 2012

Key facts

NPI
1699022541
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2012022182 (MO)
Practice address
801 Brim St
Desloge, MO 63601-3441
Phone
(573) 431-0223
NPI assigned
Aug 9, 2012
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
2012022182MOMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2012022182 MO Yes

Addresses

Primary practice location

801 Brim St
Desloge, MO 63601-3441

Mailing address

869 Butterfield Village LN
Farmington, MO 63640-7849
Phone (573) 631-9331

Other providers in Desloge, MO

All providers in Desloge, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.