Provider Demographics
NPI:1487655940
Name:MCCUMBER, BARBARA LEE (PT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LEE
Last Name:MCCUMBER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:670 LINWOOD AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-2068
Mailing Address - Country:US
Mailing Address - Phone:508-234-7544
Mailing Address - Fax:508-234-8002
Practice Address - Street 1:670 LINWOOD AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-2068
Practice Address - Country:US
Practice Address - Phone:508-234-7544
Practice Address - Fax:508-234-8002
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6404497OtherUNITED HEALTHCARE
MA470089OtherTUFTS
MAY66571OtherBLUE CROSS BLUE SHIELD
MAY66571Medicare ID - Type UnspecifiedPHYSICAL THERAPY