Provider Demographics
NPI:1083937320
Name:BARNARD, AUBREY (COTA)
Entity Type:Individual
Prefix:MISS
First Name:AUBREY
Middle Name:
Last Name:BARNARD
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-1742
Mailing Address - Country:US
Mailing Address - Phone:812-486-7511
Mailing Address - Fax:
Practice Address - Street 1:801 S STATE ROAD 57
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-4373
Practice Address - Country:US
Practice Address - Phone:812-254-4516
Practice Address - Fax:812-254-4765
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN32001647A224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant