Provider Demographics
NPI:1265680821
Name:BARRINEAU, CHARLOTE
Entity Type:Individual
Prefix:
First Name:CHARLOTE
Middle Name:
Last Name:BARRINEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 SPRING POND CT
Mailing Address - Street 2:
Mailing Address - City:IRON STATION
Mailing Address - State:NC
Mailing Address - Zip Code:28080-9412
Mailing Address - Country:US
Mailing Address - Phone:704-736-4866
Mailing Address - Fax:
Practice Address - Street 1:1431 SPRING POND CT
Practice Address - Street 2:
Practice Address - City:IRON STATION
Practice Address - State:NC
Practice Address - Zip Code:28080-9412
Practice Address - Country:US
Practice Address - Phone:704-736-4866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5754225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics