Basic Information
Provider Information
NPI: 1881795862
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINLEY
FirstName: BARBARA
MiddleName: J
NamePrefix: MRS.
NameSuffix:  
Credential: RPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3215 KENSINGTON DR
Address2:  
City: EL DORADO HILLS
State: CA
PostalCode: 95762
CountryCode: US
TelephoneNumber: 9164331219
FaxNumber:  
Practice Location
Address1: BURGER PEDIATRIC THERAPY CENTER
Address2: 101 E NATOMA ST
City: FOLSOM
State: CA
PostalCode: 95630
CountryCode: US
TelephoneNumber: 9163535297
FaxNumber: 9163535297
Other Information
ProviderEnumerationDate: 09/25/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X14964CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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