Individual
MRS. BARBARA DIANE GAUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1004 N WALNUT ST, SUITE 102, MILFORD, DE 19963-1244
(302) 422-6670
(302) 422-6550
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
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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