Provider Demographics
NPI:1770503310
Name:BARR, MARGARET ANN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANN
Last Name:BARR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:MIDYETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:816-226-4011
Mailing Address - Fax:816-524-6115
Practice Address - Street 1:109 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MO
Practice Address - Zip Code:64735-2007
Practice Address - Country:US
Practice Address - Phone:660-383-1280
Practice Address - Fax:660-383-1285
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO003718225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
44059021OtherBCBS KC
MOMA4370030OtherMEDICARE PTAN