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Charles C Barnes

Occupational Therapy Assistant in Mesa, AZ. Individual provider (NPI-1).

NPI number1992003198
StatusActive
Last updated in NPPESMar 11, 2011

Details

NPI
1992003198
Entity type
Individual (NPI-1)
Name
Charles C Barnes
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2011
Last updated
Mar 11, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant2023182TXYes
225200000X Physical Therapy Assistant0210aAZ
225200000X Physical Therapy Assistant7654OR

Practice location

389 Leisure World
Mesa, AZ 85206-3148

Phone 480-985-5760

Mailing address

389 Leisure World
Mesa, AZ 85206-3148

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