MEDICARE: MRS. CINDY BRADTMILLER BARRON OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	000000408534	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200667510	OTHER		FIRST STEPS
2	200723890 A	OTHER		FIRST STEPS

General Provider Information

NPI Number	:	1477680627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CINDY BRADTMILLER BARRON OTR

Provider Business Mailing Address
First Line	:	6711 ARCOLA RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-9783
Country	:	US
Telephone Number	:	260-625-4668
Fax Number	:	260-625-4668

Provider Business Practice Location Address
First Line	:	6711 ARCOLA RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-9783
Country	:	US
Telephone Number	:	260-625-4668
Fax Number	:	260-625-4668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/01/2008

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Directions to “ MRS. CINDY BRADTMILLER BARRON OTR” Practice Location

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