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Individual

MICHELLE BARKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
738 S 28TH ST, SOUTH BEND, IN 46615-2222
(574) 291-6722
Mailing address
738 S. 28TH STREET, SOUTH BEND, IN 46615

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001600A
IN

Other

Enumeration date
02/05/2010
Last updated
02/05/2010
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