Individual
MRS. JULIE BARINEAU MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
296 CHEROKEE DR, HAVANA, FL 32333-4522
(850) 868-0623
Mailing address
296 CHEROKEE DR, HAVANA, FL 32333-4522
(850) 868-0623
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OTA12926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308933
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
FL
01
—
OTA12926
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
05/21/2013
Last updated
05/21/2013
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