Individual
NICOLE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
840 SW 4TH AVE STE 103, ONTARIO, OR 97914-2638
(541) 881-7330
Mailing address
3850 SW 2ND AVE, NEW PLYMOUTH, ID 83655-5159
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
386955
OR
225X00000X
Occupational Therapist
OT-1796
ID
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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