Provider Demographics
NPI:1134174113
Name:PRATER, BARBARA MARIE (OTR/L)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARIE
Last Name:PRATER
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 1:14268 WHIPPOORWILL VIS
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020-7027
Mailing Address - Country:US
Mailing Address - Phone:405-528-0303
Mailing Address - Fax:
Practice Address - Street 1:1024 NW 47TH ST
Practice Address - Street 2:STE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-6412
Practice Address - Country:US
Practice Address - Phone:405-528-0303
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOT144225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics