Provider Demographics
NPI:1407093925
Name:BARRETT, SUSAN FRANCES (COTA/L)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:FRANCES
Last Name:BARRETT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA/L
Mailing Address - Street 1:7314 N CAMINO DE LA TIERRA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2140
Mailing Address - Country:US
Mailing Address - Phone:520-240-2583
Mailing Address - Fax:
Practice Address - Street 1:7314 N CAMINO DE LA TIERRA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2140
Practice Address - Country:US
Practice Address - Phone:520-240-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0832224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant