Jacquelynn Marie Barman, OTA

Individual provider Active NPI Occupational Therapy Assistant · Dickinson, ND

NPI 1932301744 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1932301744
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
20 (ND)
Practice address
30 7TH St W
Dickinson, ND 58601-4335
Phone
(701) 456-4000
Fax
(701) 456-4805
NPI assigned
Jun 4, 2007
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
20NDMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 20 ND Yes

Addresses

Primary practice location

30 7TH St W
Dickinson, ND 58601-4335

Mailing address

1963 4TH St W
Dickinson, ND 58601-2439
Phone (701) 483-2217

Other providers in Dickinson, ND

All providers in Dickinson, ND · Occupational Therapy Assistant in North Dakota

Sources for this page

Verify at the official NPI Registry.