Provider Demographics
NPI:1245210103
Name:DUNLAVY, BARBARA JEANNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JEANNE
Last Name:DUNLAVY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:JEANNE
Other - Last Name:BOTHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6480 HARRISON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7961
Mailing Address - Country:US
Mailing Address - Phone:513-354-7777
Mailing Address - Fax:513-354-7778
Practice Address - Street 1:6480 HARRISON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-7961
Practice Address - Country:US
Practice Address - Phone:513-354-7777
Practice Address - Fax:513-354-7778
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-00950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH453813OtherWELLCARE
OH000000546353OtherANTHEM
OH2817803Medicaid
OH453813OtherWELLCARE