Provider Demographics
NPI:1295820991
Name:BARMAN, CARYN (DPT)
Entity Type:Individual
Prefix:
First Name:CARYN
Middle Name:
Last Name:BARMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CARYN
Other - Middle Name:
Other - Last Name:DESMARAIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:NORTHERN ARIZONA UNVERSITY INSTITUTE FOR HUMAN DEVELOP
Mailing Address - Street 2:P.O. BOX 5630
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86011-0001
Mailing Address - Country:US
Mailing Address - Phone:928-523-5706
Mailing Address - Fax:928-523-4909
Practice Address - Street 1:NORTHERN ARIZONA UNIVERSITY BUILDING 27A
Practice Address - Street 2:OFFICE 138A
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3258
Practice Address - Country:US
Practice Address - Phone:928-523-5706
Practice Address - Fax:928-523-4909
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7235225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ148729Medicaid