Basic Information
Provider Information
NPI: 1609206408
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARKER
FirstName: CHELSEA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3809 WEST CHESTER PIKE
Address2: STE 150
City: NEWTOWN SQ
State: PA
PostalCode: 190730259
CountryCode: US
TelephoneNumber: 6103595640
FaxNumber: 6103591519
Practice Location
Address1: 1161 MCDERMOTT DR
Address2:  
City: WEST CHESTER
State: PA
PostalCode: 193804064
CountryCode: US
TelephoneNumber: 4843569401
FaxNumber: 4843569405
Other Information
ProviderEnumerationDate: 11/15/2013
LastUpdateDate: 06/30/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOC12927PAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
225XH1200XOC012927PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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