Provider Demographics
NPI:1770604753
Name:BARKER, BELINDA ANN (LOT, CHT)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:ANN
Last Name:BARKER
Suffix:
Gender:F
Credentials:LOT, CHT
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:ANN
Other - Last Name:GARDENHIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LOT, CHT
Mailing Address - Street 1:152 BROOKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-6149
Mailing Address - Country:US
Mailing Address - Phone:972-937-9686
Mailing Address - Fax:
Practice Address - Street 1:1404 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2232
Practice Address - Country:US
Practice Address - Phone:972-923-9999
Practice Address - Fax:972-923-9488
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108173225X00000X
TX1051100391225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand