Provider Demographics
NPI:1689892283
Name:BARBIERI, DEBRA FERTIG (MSPT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:FERTIG
Last Name:BARBIERI
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:KAY
Other - Last Name:BARBIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:209 MONTGOMERY CIR
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-5906
Mailing Address - Country:US
Mailing Address - Phone:540-869-3062
Mailing Address - Fax:
Practice Address - Street 1:209 MONTGOMERY CIR
Practice Address - Street 2:
Practice Address - City:STEPHENS CITY
Practice Address - State:VA
Practice Address - Zip Code:22655-5906
Practice Address - Country:US
Practice Address - Phone:540-869-3062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204468225100000X
WV1965225100000X
CO2686225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist