Provider Demographics
NPI:1649484585
Name:BARR, KATHERINE A (OTR/L)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:A
Last Name:BARR
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 1:8023 INTERSTATE 30
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-4841
Mailing Address - Country:US
Mailing Address - Phone:479-857-1787
Mailing Address - Fax:501-374-0395
Practice Address - Street 1:8023 INTERSTATE 30
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-4841
Practice Address - Country:US
Practice Address - Phone:479-857-1787
Practice Address - Fax:501-374-0395
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR845225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR139361721Medicaid