Individual
KELLY BARNHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CBIS, CSRS
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 943-2381
Mailing address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3196
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
844086
—
AZ
Enumeration date
03/14/2007
Last updated
01/18/2024
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