Individual
KEIOCSHA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 CRAIN HWY STE 6, WALDORF, MD 20601-2841
(301) 859-3304
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
Primary
30755
MD
Other
Enumeration date
09/08/2021
Last updated
02/20/2026
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