Individual
CHANNON BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1102 WASHINGTON ST # 5438, BRAINTREE, MA 02184-5438
(781) 848-3100
Mailing address
182 LONGMEADOW DR, HOLBROOK, MA 02343-2237
(774) 274-9494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14363
MA
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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