Provider Demographics
NPI:1578621728
Name:COKER, BARBARA CAROL (PT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:CAROL
Last Name:COKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:CAROL
Other - Last Name:WOLFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2407 LOOKOUT ST
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35904-3322
Mailing Address - Country:US
Mailing Address - Phone:256-547-5899
Mailing Address - Fax:
Practice Address - Street 1:3102 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-5804
Practice Address - Country:US
Practice Address - Phone:256-413-7422
Practice Address - Fax:256-442-8106
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH 3200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51598494Medicare UPIN