Provider Demographics
NPI:1407901259
Name:BARNES THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:BARNES THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:207-242-0252
Mailing Address - Street 1:7 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4502
Mailing Address - Country:US
Mailing Address - Phone:207-242-0252
Mailing Address - Fax:
Practice Address - Street 1:503 WOODFORD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-2439
Practice Address - Country:US
Practice Address - Phone:207-242-0252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty