Individual
CAROLYN C BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
108724
TX
225X00000X
Occupational Therapist
Primary
108724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177929001
—
TX
Enumeration date
02/03/2006
Last updated
11/22/2011
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