Individual
CHARMAINE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
461 NEWNAN LAKES BLVD STE B, NEWNAN, GA 30263-6486
(470) 686-3202
Mailing address
PO BOX 168, CRYSTAL SPRINGS, MS 39059-0168
(850) 588-9641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006098
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT006098
LICENSE
GA
Enumeration date
01/17/2022
Last updated
01/17/2022
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