Provider Demographics
NPI:1033259049
Name:BARBAGLIA, KATE TERESA (OTRL)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:TERESA
Last Name:BARBAGLIA
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E SOUTH ST
Mailing Address - Street 2:UNIT 1024
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3566
Mailing Address - Country:US
Mailing Address - Phone:904-233-6476
Mailing Address - Fax:
Practice Address - Street 1:5671 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4291
Practice Address - Country:US
Practice Address - Phone:407-888-2255
Practice Address - Fax:407-888-2446
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 11270225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist