Individual
MRS. KELLY DAWN BAREFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(301) 862-2505
Mailing address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(301) 862-2505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119003660
VA
225X00000X
Occupational Therapist
Primary
07067
MD
Other
Enumeration date
09/06/2007
Last updated
08/02/2016
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