Provider Demographics
NPI:1871871046
Name:SLOANE, BARBARA LEE (OTR)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEE
Last Name:SLOANE
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 1:20 LOWERRE PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-2321
Mailing Address - Country:US
Mailing Address - Phone:845-642-1569
Mailing Address - Fax:
Practice Address - Street 1:20 LOWERRE PL
Practice Address - Street 2:
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-2321
Practice Address - Country:US
Practice Address - Phone:845-642-1569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009589-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist