Provider Demographics
NPI:1043592579
Name:BARNED, ROXANNE MARIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:MARIE
Last Name:BARNED
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:ROXANNE
Other - Middle Name:MARIE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:9579 VOCATIONAL DR
Mailing Address - Street 2:GST BOCES
Mailing Address - City:PAINTED POST
Mailing Address - State:NY
Mailing Address - Zip Code:14870-9043
Mailing Address - Country:US
Mailing Address - Phone:607-677-6678
Mailing Address - Fax:
Practice Address - Street 1:9579 VOCATIONAL DR
Practice Address - Street 2:GST BOCES
Practice Address - City:PAINTED POST
Practice Address - State:NY
Practice Address - Zip Code:14870-9043
Practice Address - Country:US
Practice Address - Phone:607-677-6678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-11
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010409-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist