Provider Demographics
NPI:1740603273
Name:CONELL, BARBARA J (OTR/L MHS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:CONELL
Suffix:
Gender:F
Credentials:OTR/L MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 E 222ND ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-2031
Mailing Address - Country:US
Mailing Address - Phone:216-261-2900
Mailing Address - Fax:216-797-2928
Practice Address - Street 1:651 E 222ND ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-2031
Practice Address - Country:US
Practice Address - Phone:216-261-2900
Practice Address - Fax:216-797-2928
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT 1364225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics