Provider Demographics
NPI:1023211059
Name:CANAL, BARBARA LENORE (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LENORE
Last Name:CANAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 E HOWELL ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2520
Mailing Address - Country:US
Mailing Address - Phone:206-323-3022
Mailing Address - Fax:206-322-8312
Practice Address - Street 1:1211 E HOWELL ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2520
Practice Address - Country:US
Practice Address - Phone:206-323-3022
Practice Address - Fax:206-322-8312
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00004076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist