Individual
CHARLES C BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
389 LEISURE WORLD, MESA, AZ 85206-3148
(480) 985-5760
Mailing address
389 LEISURE WORLD, MESA, AZ 85206-3148
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023182
TX
225200000X
Physical Therapy Assistant
0210A
AZ
225200000X
Physical Therapy Assistant
7654
OR
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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