Provider Demographics
NPI:1336338771
Name:LETSCH, BARBARA J (PT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:LETSCH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6211 BOYD LN
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-2507
Mailing Address - Country:US
Mailing Address - Phone:561-632-3116
Mailing Address - Fax:
Practice Address - Street 1:6211 BOYD LN
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-2507
Practice Address - Country:US
Practice Address - Phone:561-632-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT3985225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist