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Individual

BROOKE NICOLE BARNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
680 N WATTERS RD, ALLEN, TX 75013-5126
(469) 854-9230
Mailing address
130 JARON DR, POTTSBORO, TX 75076-7051
(903) 818-8988

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
415811
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14355451
UNITED HEALTHCARE
OK
Enumeration date
02/25/2019
Last updated
02/25/2019
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