Provider Demographics
NPI:1568665107
Name:BAR, OREN (PT)
Entity type:Individual
Prefix:MR
First Name:OREN
Middle Name:
Last Name:BAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W WIEUCA RD NE
Mailing Address - Street 2:BUILDING 1, SUITE 214
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3352
Mailing Address - Country:US
Mailing Address - Phone:770-815-8512
Mailing Address - Fax:770-971-8135
Practice Address - Street 1:300 W WIEUCA RD NE
Practice Address - Street 2:BUILDING 1, SUITE 214
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3352
Practice Address - Country:US
Practice Address - Phone:770-815-8512
Practice Address - Fax:770-971-8135
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008762225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist