Doctor Name: | DR. JACOB COREY BARR |
NPI Number: | 1336100692 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, MTC |
License Number: | PT18544 |
Business Practice Address: | 1425 Hand Ave Suite H Ormond Beach, FL - 321741135 |
Business Phone Number: | 3866733535 |
Business Fax Number: | 3866733530 |
Mailing Address: | 33 Ormond Green Blvd, ORMOND BEACH |
State: | FL |
Postal Code: | 321748768 |
Phone Number: | 3862993192 |
Fax Number: | 3866733530 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 02/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT18544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |