Individual
MARIAH KAY BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6205 MINERAL POINT RD, MADISON, WI 53705-4576
(608) 230-4280
Mailing address
5441 KALESEY CT LOT 39, WAUNAKEE, WI 53597-9279
(618) 895-4228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057004404
IL
224Z00000X
Occupational Therapy Assistant
Primary
5442
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057004404
OTA LICENSE
IL
01
—
5442
OTA LICENSE
WI
Enumeration date
06/21/2018
Last updated
06/21/2018
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