Provider Demographics
NPI:1154590941
Name:MCCARRICK, BARBARA (OTR/L)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MCCARRICK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8265 FONDRAY CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-9502
Mailing Address - Country:US
Mailing Address - Phone:925-484-2883
Mailing Address - Fax:925-484-0835
Practice Address - Street 1:8265 FONDRAY CT
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-9502
Practice Address - Country:US
Practice Address - Phone:925-484-2883
Practice Address - Fax:925-484-0835
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3570225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist