Individual
GAYLE PATRICIA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149010784
IL
225X00000X
Occupational Therapist
Primary
056003913
IL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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