Provider Demographics
NPI:1568653624
Name:BAR, LORIE JEANNINE (OTR)
Entity type:Individual
Prefix:MISS
First Name:LORIE
Middle Name:JEANNINE
Last Name:BAR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:LORIE
Other - Middle Name:
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 S NEWTON ST # A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-1992
Mailing Address - Country:US
Mailing Address - Phone:720-556-2126
Mailing Address - Fax:
Practice Address - Street 1:7804 YORKSHIRE DR
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-8846
Practice Address - Country:US
Practice Address - Phone:720-566-2126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2342225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist