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Individual

IAN DANIEL BARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
140 POINT JUDITH RD, UNIT A13, NARRAGANSETT, RI 02882-3451
(401) 792-0900
(401) 782-2916
Mailing address
21 JOHNSON PL, WAKEFIELD, RI 02879-4001
(401) 862-4620

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00949
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25592-1
BLUE CROSS
RI
01
31453-8
BLUE CROSS
RI
01
410678
BLUE CHIP
RI
Enumeration date
06/19/2006
Last updated
08/04/2008
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