Provider Demographics
NPI:1568050623
Name:CHRYSLER, BARBARA GINA (OTR/L, CLT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:GINA
Last Name:CHRYSLER
Suffix:
Gender:F
Credentials:OTR/L, CLT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:G
Other - Last Name:CHRYSLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L, CLT
Mailing Address - Street 1:6305 PEACEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55424-1929
Mailing Address - Country:US
Mailing Address - Phone:612-618-9751
Mailing Address - Fax:
Practice Address - Street 1:6625 LYNDALE AVE S STE 500
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2691
Practice Address - Country:US
Practice Address - Phone:612-886-3706
Practice Address - Fax:612-886-3681
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN102163225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist