Provider Demographics
NPI:1114168515
Name:MARIA H BARREIRO
Entity Type:Organization
Organization Name:MARIA H BARREIRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:HERMINIA
Authorized Official - Last Name:BARREIRO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-359-1510
Mailing Address - Street 1:14260 W NEWBERRY RD
Mailing Address - Street 2:#409
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2765
Mailing Address - Country:US
Mailing Address - Phone:352-359-1510
Mailing Address - Fax:
Practice Address - Street 1:14260 W NEWBERRY RD
Practice Address - Street 2:#409
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-2765
Practice Address - Country:US
Practice Address - Phone:352-359-1510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2010-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19491252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency