Provider Demographics
NPI:1003549973
Name:BARKER BURR, COLLEEN ELIZABETH (OTA/L A01658)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:ELIZABETH
Last Name:BARKER BURR
Suffix:
Gender:F
Credentials:OTA/L A01658
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 WASHINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2132
Mailing Address - Country:US
Mailing Address - Phone:410-991-2444
Mailing Address - Fax:
Practice Address - Street 1:22 WASHINGTON DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2132
Practice Address - Country:US
Practice Address - Phone:410-991-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant