Basic Information
| Provider Information | |||||||||
| NPI: | 1346816410 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNES | ||||||||
| FirstName: | TAYLOR | ||||||||
| MiddleName: | LEANNE | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 IRONWOOD DR | ||||||||
| Address2: | |||||||||
| City: | EPPING | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030421909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6033979470 | ||||||||
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| Practice Location | |||||||||
| Address1: | 777 LAFAYETTE RD | ||||||||
| Address2: | |||||||||
| City: | HAMPTON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038421254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6039293032 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2021 | ||||||||
| LastUpdateDate: | 05/31/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 3159 | NH | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.