Provider Demographics
NPI:1376833095
Name:BARBON-QUIRANTE, CECILE ENAD (OTR)
Entity Type:Individual
Prefix:MS
First Name:CECILE
Middle Name:ENAD
Last Name:BARBON-QUIRANTE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 FLAGSTONE DR
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-2813
Mailing Address - Country:US
Mailing Address - Phone:314-630-8592
Mailing Address - Fax:
Practice Address - Street 1:74 JOURNEY WAY
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-0078
Practice Address - Country:US
Practice Address - Phone:192-554-3782
Practice Address - Fax:317-449-5783
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010034688225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist