Provider Demographics
NPI:1982845442
Name:EGGERT, BARBARA A (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:EGGERT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:EGGERT
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4612 HIGHWAY 185
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:MO
Mailing Address - Zip Code:63068-2626
Mailing Address - Country:US
Mailing Address - Phone:636-541-1451
Mailing Address - Fax:
Practice Address - Street 1:9503 HWY 100
Practice Address - Street 2:NEW HAVEN CARE CENTER INC
Practice Address - City:NEW HAVEN
Practice Address - State:MO
Practice Address - Zip Code:63068
Practice Address - Country:US
Practice Address - Phone:573-237-2103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-13
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004893225XH1200X, 225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand