Individual
ELENA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTR
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003214
IL
225X00000X
Occupational Therapist
Primary
056.012458
IL
Other
Enumeration date
03/23/2018
Last updated
04/11/2023
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