Provider Demographics
NPI:1407359839
Name:FROTA, BARBARA GABRIELLE RIBEIRO (DPT)
Entity Type:Individual
Prefix:
First Name:BARBARA GABRIELLE
Middle Name:RIBEIRO
Last Name:FROTA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:FROTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1407
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81623-1407
Mailing Address - Country:US
Mailing Address - Phone:831-566-0982
Mailing Address - Fax:
Practice Address - Street 1:255 UNION BLVD STE 110
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1833
Practice Address - Country:US
Practice Address - Phone:303-232-0355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0015376225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist