Provider Demographics
NPI:1881824720
Name:BARROW, BRIDGETT ELLEN (COTA/L)
Entity Type:Individual
Prefix:MISS
First Name:BRIDGETT
Middle Name:ELLEN
Last Name:BARROW
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 CHARLIES WAY
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:OH
Mailing Address - Zip Code:43543-1904
Mailing Address - Country:US
Mailing Address - Phone:419-485-8307
Mailing Address - Fax:
Practice Address - Street 1:924 CHARLIES WAY
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:OH
Practice Address - Zip Code:43543-1904
Practice Address - Country:US
Practice Address - Phone:419-485-8307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03961224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant