Simone Elaine Barden, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Williston, ND
NPI 1922402544 · NPPES record last updated Oct 9, 2014
Key facts
- NPI
- 1922402544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1372 (ND)
- Practice address
- 1515 2ND Ave W
Williston, ND 58801-4108 - Phone
- (701) 572-6766
- NPI assigned
- Oct 9, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1372 | ND | Yes |
Addresses
Primary practice location
1515 2ND Ave W
Williston, ND 58801-4108
Mailing address
2425 24TH Ave W
Apt 301
Williston, ND 58801-3206
Phone (910) 308-1588
Other providers in Williston, ND
- Melissa Kay Bair
- Stephen William Bair
- Bakken Behavioral Health Associates
- Bakken Occupational Health PC
- Joanne A Bakken
- Wayne Barke
- James Kurt Barry
- Kaleb Barstad
- Alexis Barten
- Kimberly Tamara Cruz Barton
All providers in Williston, ND · Occupational Therapy Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2014. 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.