Provider Demographics
NPI:1295261725
Name:BARRATT, JENNIFER (OTR/L)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:BARRATT
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 1:1005 N BUCHANAN BLVD
Mailing Address - Street 2:APARTMENT A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1139
Mailing Address - Country:US
Mailing Address - Phone:267-872-9492
Mailing Address - Fax:
Practice Address - Street 1:1005 N BUCHANAN BLVD
Practice Address - Street 2:APARTMENT A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-1139
Practice Address - Country:US
Practice Address - Phone:267-872-9492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9563225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist