Provider Demographics
NPI:1134197031
Name:FOURNIER, BARBARA ANN (PT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:FOURNIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SADDLE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-8433
Mailing Address - Country:US
Mailing Address - Phone:513-494-1344
Mailing Address - Fax:
Practice Address - Street 1:CLERMONT MERCY HOSPITAL
Practice Address - Street 2:3000 HOSPITAL DR
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103
Practice Address - Country:US
Practice Address - Phone:513-732-8207
Practice Address - Fax:513-732-8752
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003879225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist