Provider Demographics
NPI:1508969304
Name:CARROLL, BARBARA JEAN (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:JEAN
Last Name:CARROLL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 NEILSON WAY
Mailing Address - Street 2:#231
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-4011
Mailing Address - Country:US
Mailing Address - Phone:310-927-0747
Mailing Address - Fax:310-450-1314
Practice Address - Street 1:2700 NEILSON WAY
Practice Address - Street 2:#231
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-4011
Practice Address - Country:US
Practice Address - Phone:310-927-0747
Practice Address - Fax:310-450-1314
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7906225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand