Provider Demographics
NPI:1518366392
Name:KAHN, BARBARA (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:KAHN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 MIDDLE GROUND BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4526
Mailing Address - Country:US
Mailing Address - Phone:757-595-4880
Mailing Address - Fax:
Practice Address - Street 1:704 MIDDLE GROUND BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4526
Practice Address - Country:US
Practice Address - Phone:757-595-4880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131001315224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant