Individual
BRIAN BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
605 CRESCENT PL, GAHANNA, OH 43230-3086
(614) 545-7900
(614) 545-7901
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 545-7900
(614) 545-7901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012583
OH
225XH1200X
Hand Occupational Therapist
OT012583
OH
Other
Enumeration date
07/31/2023
Last updated
12/30/2024
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