Individual
MS. ELIZABETH R BAREFOOT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2930 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-9010
(910) 323-9568
Mailing address
2930 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-9010
(910) 323-9568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12775
BCBS
NC
01
—
292075
MAMSI
NC
01
—
A5123
MEDCOST
NC
Enumeration date
08/12/2005
Last updated
07/08/2007
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