Provider Demographics
NPI:1790009405
Name:BARRIER FREE OCCUPATIONAL THERAPY, INC.
Entity Type:Organization
Organization Name:BARRIER FREE OCCUPATIONAL THERAPY, INC.
Other - Org Name:BARRIER FREE OT
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KOCH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:269-978-8340
Mailing Address - Street 1:3243 BIRCH AVENUE
Mailing Address - Street 2:
Mailing Address - City:COLOMA
Mailing Address - State:MI
Mailing Address - Zip Code:49038
Mailing Address - Country:US
Mailing Address - Phone:269-978-8340
Mailing Address - Fax:866-576-3284
Practice Address - Street 1:3235 BIRCH AVE
Practice Address - Street 2:
Practice Address - City:COLOMA
Practice Address - State:MI
Practice Address - Zip Code:49038-9117
Practice Address - Country:US
Practice Address - Phone:269-978-8340
Practice Address - Fax:866-576-3284
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BARRIER FREE OCCUPATIONAL THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-24
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201003832251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health