Provider Demographics
NPI:1114193091
Name:DEMCHICK, BARBARA (OT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DEMCHICK
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 YORK RD
Mailing Address - Street 2:VAN BOKKELEN HALL SLH CENTER
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21252-0001
Mailing Address - Country:US
Mailing Address - Phone:410-704-3095
Mailing Address - Fax:410-704-6303
Practice Address - Street 1:8000 YORK RD
Practice Address - Street 2:VAN BOKKELEN HALL SLH CENTER
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21252-0001
Practice Address - Country:US
Practice Address - Phone:410-704-3095
Practice Address - Fax:410-704-6303
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02143225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDN199-0024OtherCAREFIRSTS BLUE CHOICE
MD904469-01OtherCAREFIRST BLUE CROSS BLUE SHIELD