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Individual

MRS. BARBARA DIANE GAUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XH1200X
Hand Occupational Therapist
U1-0000819
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11750416
CAQH
01
1528277712
CHAMPUS TRICARE
05
1528277712
DE
01
3535011000
IBC AMERIHEALTH
01
P01084205
MEDICARE RAILROAD
DE
Enumeration date
05/22/2007
Last updated
06/04/2024
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