Provider Demographics
NPI:1801841283
Name:BARRETT, DONNA (OTR/L)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 LAWNTON AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-5041
Mailing Address - Country:US
Mailing Address - Phone:856-251-0951
Mailing Address - Fax:856-879-0117
Practice Address - Street 1:935 KINGS HWY
Practice Address - Street 2:SUITE 600
Practice Address - City:THOROFARE
Practice Address - State:NJ
Practice Address - Zip Code:08086-2238
Practice Address - Country:US
Practice Address - Phone:856-845-7473
Practice Address - Fax:856-879-0117
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00108400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist