Individual
REGINA NICHOLS BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3775 SAIL BOAT LN, LAKELAND, TN 38002-8144
(901) 745-7595
Mailing address
3775 SAIL BOAT LN, LAKELAND, TN 38002-8144
(901) 745-7595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000004165
TN
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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