Provider Demographics
NPI:1992289037
Name:BARTH, DEVIN CELESTE (OTR/L)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:CELESTE
Last Name:BARTH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3462 HEWITT ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-6443
Mailing Address - Country:US
Mailing Address - Phone:303-915-1729
Mailing Address - Fax:
Practice Address - Street 1:3462 HEWITT ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-6443
Practice Address - Country:US
Practice Address - Phone:303-915-1729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005162225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty