Provider Demographics
NPI:1336262468
Name:BARNHART, BRUCE D (ATC, PTA)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:D
Last Name:BARNHART
Suffix:
Gender:M
Credentials:ATC, PTA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:119 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-1917
Mailing Address - Country:US
Mailing Address - Phone:724-785-7498
Mailing Address - Fax:724-938-4342
Practice Address - Street 1:250 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:PA
Practice Address - Zip Code:15419-1341
Practice Address - Country:US
Practice Address - Phone:724-938-4562
Practice Address - Fax:724-938-4342
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE006691225200000X
PART000071A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer