Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC018126 | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OC018126 | PA |
NPI | 1053071340 |
---|---|
Provider Name | Courtney R Barker |
First Address | Glenshaw, PA 15116-3160 |
Second Address | Glenshaw, PA 15116-3160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2021 |
Last Update Date | 28/12/2021 |