Provider Demographics
NPI:1144971771
Name:BARNEY, OLIVER BRUCE (PT, DPT)
Entity type:Individual
Prefix:
First Name:OLIVER
Middle Name:BRUCE
Last Name:BARNEY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 MCGRAW RD
Mailing Address - Street 2:
Mailing Address - City:FRIENDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18818-8964
Mailing Address - Country:US
Mailing Address - Phone:607-699-1035
Mailing Address - Fax:
Practice Address - Street 1:260 MCGRAW RD
Practice Address - Street 2:
Practice Address - City:FRIENDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18818-8964
Practice Address - Country:US
Practice Address - Phone:607-699-1035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038784225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist