Individual
TINA DENISE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
156 PINE KNOLL DR, CARROLLTON, GA 30117-2451
(770) 832-8243
Mailing address
1218 CRESTMARK BLVD, LITHIA SPRINGS, GA 30122-4426
(478) 697-6949
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001130
GA
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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