Provider Demographics
NPI:1477680627
Name:BARRON, CINDY BRADTMILLER (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:BRADTMILLER
Last Name:BARRON
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 1:6711 ARCOLA RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46818-9783
Mailing Address - Country:US
Mailing Address - Phone:260-625-4668
Mailing Address - Fax:260-625-4668
Practice Address - Street 1:6711 ARCOLA RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46818-9783
Practice Address - Country:US
Practice Address - Phone:260-625-4668
Practice Address - Fax:260-625-4668
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN000000408534225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
200667510OtherFIRST STEPS
200723890 AOtherFIRST STEPS