Individual
NATHAN ALLEN BARWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
485 S FRIENDSHIP DR, NASHVILLE, IL 62263-1363
(618) 327-3041
(618) 327-4001
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001332
IL
Other
Enumeration date
08/14/2012
Last updated
08/15/2012
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