Provider Demographics
NPI:1750925327
Name:CARY, BARBARA JEAN (OTR)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:CARY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:MONROE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:530 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROME CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46784-9710
Mailing Address - Country:US
Mailing Address - Phone:260-502-1446
Mailing Address - Fax:
Practice Address - Street 1:515 N MAIN ST
Practice Address - Street 2:
Practice Address - City:AVILLA
Practice Address - State:IN
Practice Address - Zip Code:46710-9601
Practice Address - Country:US
Practice Address - Phone:260-897-2841
Practice Address - Fax:260-897-2848
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31001103A225XG0600X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontologyGroup - Single Specialty