Provider Demographics
NPI:1770851735
Name:SPINOSA, BARBARA K (OT/L)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:SPINOSA
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4618 COLE RD
Mailing Address - Street 2:
Mailing Address - City:HEMLOCK
Mailing Address - State:NY
Mailing Address - Zip Code:14466-9644
Mailing Address - Country:US
Mailing Address - Phone:585-705-2777
Mailing Address - Fax:
Practice Address - Street 1:131 W BROAD ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14614-1103
Practice Address - Country:US
Practice Address - Phone:585-262-8466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006092-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist