Provider Demographics
NPI:1457539009
Name:BARRY, DINA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:MARIE
Last Name:BARRY
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 1:3390 TOLEDO CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6207
Mailing Address - Country:US
Mailing Address - Phone:775-425-1286
Mailing Address - Fax:
Practice Address - Street 1:1575 ROBB DR
Practice Address - Street 2:SUITE 4
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-3525
Practice Address - Country:US
Practice Address - Phone:775-827-3777
Practice Address - Fax:775-827-1013
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1449225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist