Provider Demographics
NPI:1417104050
Name:LEWIS, BARBARA PAYTON (OTR/L)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:PAYTON
Last Name:LEWIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:PAYTON
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3841 NW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-6549
Mailing Address - Country:US
Mailing Address - Phone:405-264-7826
Mailing Address - Fax:405-392-2347
Practice Address - Street 1:3841 NW 32ND ST
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:OK
Practice Address - Zip Code:73065-6549
Practice Address - Country:US
Practice Address - Phone:405-264-7826
Practice Address - Fax:405-392-2347
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK721225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist