Provider Demographics
NPI:1952692246
Name:MITCHELL-BARKER, DARCY (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:
Last Name:MITCHELL-BARKER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7543 MCLELLAN DR
Mailing Address - Street 2:
Mailing Address - City:WALTON HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-5005
Mailing Address - Country:US
Mailing Address - Phone:440-232-7161
Mailing Address - Fax:
Practice Address - Street 1:6606 CARNEGIE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-4622
Practice Address - Country:US
Practice Address - Phone:216-361-1414
Practice Address - Fax:216-361-0578
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA01037171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor