Individual
SAVANA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 ICETOWN RD, BOSTON, KY 40107-8461
(502) 331-3005
Mailing address
1704 ICETOWN RD, BOSTON, KY 40107-8461
(502) 331-3005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
162980
KY
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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