Provider Demographics
NPI:1366429961
Name:MEYERS, BARBARA WIMAN (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:WIMAN
Last Name:MEYERS
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 STONEY BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-4200
Mailing Address - Country:US
Mailing Address - Phone:952-470-0764
Mailing Address - Fax:952-470-0764
Practice Address - Street 1:5105 STONEY BRIDGE CT
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-4200
Practice Address - Country:US
Practice Address - Phone:952-470-0764
Practice Address - Fax:952-470-0764
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100611224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP31032OtherHEALTH PARTNERS
MNHP31032OtherHEALTH PARTNERS
MN64-13710Medicare UPIN