Provider Demographics
NPI:1679631501
Name:BARGER, ANGEL LURIA (MS OTR)
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:LURIA
Last Name:BARGER
Suffix:
Gender:F
Credentials:MS OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4662 E STATE ROAD 252
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-8158
Mailing Address - Country:US
Mailing Address - Phone:317-294-7763
Mailing Address - Fax:317-346-4258
Practice Address - Street 1:4662 E STATE ROAD 252
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-8158
Practice Address - Country:US
Practice Address - Phone:317-294-7763
Practice Address - Fax:317-346-4258
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002973A225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics