Provider Demographics
NPI:1225403702
Name:BARRINEAU, BARBARA KELLY (PT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:KELLY
Last Name:BARRINEAU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 KINGSLAND WAY
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-7769
Mailing Address - Country:US
Mailing Address - Phone:843-343-2960
Mailing Address - Fax:
Practice Address - Street 1:135 KINGSLAND WAY
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-7769
Practice Address - Country:US
Practice Address - Phone:843-343-2960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3316225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist