Provider Demographics
NPI:1164636973
Name:OXENDINE, BARBARA CUMMINGS (PTA)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:CUMMINGS
Last Name:OXENDINE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 OMEGA DRIVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-9732
Mailing Address - Country:US
Mailing Address - Phone:910-521-1340
Mailing Address - Fax:910-618-9216
Practice Address - Street 1:300 W 27TH ST
Practice Address - Street 2:SOUTHEASTERN MEDICAL CENTER
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3075
Practice Address - Country:US
Practice Address - Phone:910-618-9807
Practice Address - Fax:910-618-9216
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3060A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant