Provider Demographics
NPI:1194092064
Name:BARTON, LONNIE ANDREW (COTA)
Entity type:Individual
Prefix:
First Name:LONNIE
Middle Name:ANDREW
Last Name:BARTON
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 N CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1182
Mailing Address - Country:US
Mailing Address - Phone:719-776-4888
Mailing Address - Fax:719-776-4860
Practice Address - Street 1:3010 N CIRCLE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1182
Practice Address - Country:US
Practice Address - Phone:719-776-4888
Practice Address - Fax:719-776-4860
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224Z00000X
COOT.0007501225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant