Individual
MS. MARILYN BETHUNE BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2185 NORTHLAKE PARKWAY, BUILDING 8, SUITE 100, TUCKER, GA 30084
(770) 493-6360
(301) 445-3198
Mailing address
831 UNIVERSITY BLVD, EAST, SUITE #14, SILVER SPRING, MD 20903
(301) 445-3191
(301) 445-3198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306603805
VA
225200000X
Physical Therapy Assistant
Primary
A2363
MD
225200000X
Physical Therapy Assistant
PTA003179
GA
Other
Enumeration date
03/06/2007
Last updated
09/22/2014
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