Provider Demographics
NPI:1083220644
Name:OLLMANN, BARBARA (MT-BC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:OLLMANN
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26400 GOLDEN CT
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MN
Mailing Address - Zip Code:55092-9063
Mailing Address - Country:US
Mailing Address - Phone:651-592-6804
Mailing Address - Fax:
Practice Address - Street 1:26400 GOLDEN CT
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MN
Practice Address - Zip Code:55092-9063
Practice Address - Country:US
Practice Address - Phone:651-592-6804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist