Provider Demographics
NPI:1780453753
Name:BAR, HEMDAT (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:HEMDAT
Middle Name:
Last Name:BAR
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 1:19400 TURNBERRY WAY APT 812
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2692
Mailing Address - Country:US
Mailing Address - Phone:786-277-9497
Mailing Address - Fax:
Practice Address - Street 1:19400 TURNBERRY WAY APT 812
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2692
Practice Address - Country:US
Practice Address - Phone:786-277-9497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT24777225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist