Provider Demographics
NPI:1821745696
Name:VANCAMP, BARBARA G (CTRS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:G
Last Name:VANCAMP
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6204 105TH TER N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-2533
Mailing Address - Country:US
Mailing Address - Phone:407-719-0407
Mailing Address - Fax:
Practice Address - Street 1:5201 RAYMOND ST.
Practice Address - Street 2:ADAPTIVE SPORTS, BUILDING 506
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-719-0407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist