Provider Demographics
NPI:1033507272
Name:MOTYKA, BARBARA JEAN (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEAN
Last Name:MOTYKA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4487 COUNTY ROAD 342
Mailing Address - Street 2:
Mailing Address - City:MILANO
Mailing Address - State:TX
Mailing Address - Zip Code:76556-2597
Mailing Address - Country:US
Mailing Address - Phone:763-221-0768
Mailing Address - Fax:
Practice Address - Street 1:2202 N TRAVIS AVE
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:TX
Practice Address - Zip Code:76520-1665
Practice Address - Country:US
Practice Address - Phone:254-697-7118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212000224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant