Healthcare Provider Details

I. General information

NPI: 1467159970
Provider Name (Legal Business Name): JOSEPHINE ROSE BARRIER COMPEAU MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2718 HENRY ST
GREENSBORO NC
27405-3633
US

IV. Provider business mailing address

1356 NORWALK ST APT X
GREENSBORO NC
27407-1934
US

V. Phone/Fax

Practice location:
  • Phone: 336-375-1007
  • Fax:
Mailing address:
  • Phone: 724-456-6502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number16513
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-3197
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: