Provider Demographics
NPI:1578772414
Name:MOREIRA, BARBARA LYNN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:MOREIRA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:FOGARTY PETERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:9031 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73179-2818
Mailing Address - Country:US
Mailing Address - Phone:405-732-3946
Mailing Address - Fax:
Practice Address - Street 1:9031 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73179-2818
Practice Address - Country:US
Practice Address - Phone:405-732-3946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK52122251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics