Provider Demographics
NPI:1164693941
Name:MALONE, BARBARA LYNN (OTR)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:MALONE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4219 STARFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-4152
Mailing Address - Country:US
Mailing Address - Phone:970-301-3461
Mailing Address - Fax:
Practice Address - Street 1:4219 STARFLOWER DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-4152
Practice Address - Country:US
Practice Address - Phone:970-301-3461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist