Provider Demographics
NPI:1245069061
Name:BARRY, KATERINA MARY (OTR/L)
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:MARY
Last Name:BARRY
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 1:1800 REED ST APT 1F
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-4636
Mailing Address - Country:US
Mailing Address - Phone:914-588-7172
Mailing Address - Fax:
Practice Address - Street 1:1800 REED ST APT 1F
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-4636
Practice Address - Country:US
Practice Address - Phone:914-588-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist