Individual
ALEXANDRIA LYNN BARNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
185 S MARLEY RD, NEW LENOX, IL 60451-3302
(815) 462-4928
Mailing address
185 S MARLEY RD, NEW LENOX, IL 60451-3302
(815) 462-4928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012889
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.012889
STATE OF ILLINOIS LICENSE
IL
01
—
413517
NBCOT
—
Enumeration date
04/02/2019
Last updated
04/02/2019
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