Katherine Joyce Barber, COTA

Individual provider Active NPI Occupational Therapy Assistant · Lake Tapps, WA

NPI 1679936884 · NPPES record last updated Apr 4, 2016

Key facts

NPI
1679936884
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OC60612143 (WA)
Practice address
17510 51St Street CT E
Lake Tapps, WA 98391-6737
Phone
(253) 365-3373
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OC60612143WAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC60612143 WA Yes

Addresses

Primary practice location

17510 51St Street CT E
Lake Tapps, WA 98391-6737

Mailing address

17510 51St Street CT E
Lake Tapps, WA 98391-6737
Phone (253) 365-3373

Other providers in Lake Tapps, WA

All providers in Lake Tapps, WA · Occupational Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.