Provider Demographics
NPI:1336700715
Name:JOST, BARBARA JEAN (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEAN
Last Name:JOST
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:JEAN
Other - Last Name:MOSES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2904 W 33RD STREET
Mailing Address - Street 2:APT 226
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105
Mailing Address - Country:US
Mailing Address - Phone:320-760-2323
Mailing Address - Fax:
Practice Address - Street 1:GOOD SAMARITAN SIOUX FALLS VILLAGE
Practice Address - Street 2:3901 SOUTH MARION ROAD
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106
Practice Address - Country:US
Practice Address - Phone:605-361-3311
Practice Address - Fax:605-362-3585
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN201737224Z00000X
SD420A224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant