Provider Demographics
NPI:1609596881
Name:ASARE-BEDIAKO, BARBARA KAYE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:KAYE
Last Name:ASARE-BEDIAKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4632 A ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-8431
Mailing Address - Country:US
Mailing Address - Phone:202-302-0412
Mailing Address - Fax:
Practice Address - Street 1:4632 A ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-8431
Practice Address - Country:US
Practice Address - Phone:202-302-0412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMT1694225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist