MEDICARE: DR. SUEANN BARSH OTD, OTR/L

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	28050	CA

General Provider Information

NPI Number	:	1700762457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUEANN BARSH OTD, OTR/L

Provider Business Mailing Address
First Line	:	2449 CARSON ST
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94061-2009
Country	:	US
Telephone Number	:	914-334-5660
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 PORTOLA RD
Second Line	:
City	:	PORTOLA VALLEY
State	:	CA
Zip	:	94028-7654
Country	:	US
Telephone Number	:	650-851-1501
Fax Number	:

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

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	08/15/2025

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