Provider Demographics
NPI:1669011623
Name:FLEISCHER, BARBARA RUTH (OTR)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:RUTH
Last Name:FLEISCHER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 CHELSEA ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1732
Mailing Address - Country:US
Mailing Address - Phone:914-804-5648
Mailing Address - Fax:
Practice Address - Street 1:82 CHELSEA ST
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1732
Practice Address - Country:US
Practice Address - Phone:914-804-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-22
Last Update Date:2019-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000328-1225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology