Provider Demographics
NPI:1083163539
Name:BARBER, DAVID PHILLIP ANTHONY (DPT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PHILLIP ANTHONY
Last Name:BARBER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 WASHINGTON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-2099
Mailing Address - Country:US
Mailing Address - Phone:339-214-3164
Mailing Address - Fax:339-214-3165
Practice Address - Street 1:454 WASHINGTON ST STE 2
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-2099
Practice Address - Country:US
Practice Address - Phone:339-214-3164
Practice Address - Fax:339-214-3165
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist