Provider Demographics
NPI:1679936884
Name:BARBER, KATHERINE JOYCE (COTA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JOYCE
Last Name:BARBER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 51ST STREET CT E
Mailing Address - Street 2:
Mailing Address - City:LAKE TAPPS
Mailing Address - State:WA
Mailing Address - Zip Code:98391-6737
Mailing Address - Country:US
Mailing Address - Phone:253-365-3373
Mailing Address - Fax:
Practice Address - Street 1:17510 51ST STREET CT E
Practice Address - Street 2:
Practice Address - City:LAKE TAPPS
Practice Address - State:WA
Practice Address - Zip Code:98391-6737
Practice Address - Country:US
Practice Address - Phone:253-365-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC60612143224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant