Provider Demographics
NPI:1104123140
Name:BARR, MONICA SOLIMAN (OTR)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:SOLIMAN
Last Name:BARR
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:PO BOX 925
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-0925
Mailing Address - Country:US
Mailing Address - Phone:916-747-0310
Mailing Address - Fax:916-772-0610
Practice Address - Street 1:628 HANISCH DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-1260
Practice Address - Country:US
Practice Address - Phone:916-747-0310
Practice Address - Fax:916-772-0610
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT7236225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist