Individual
VICKI L BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1710 SUBURBAN AVE, SAINT PAUL, MN 55106-6636
(651) 254-3200
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0435
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101188
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49Q08BA
BCBS MINNESOTA
MN
01
—
6407007
MEDICA
MN
01
—
HP43647
HEALTHPARTNERS
MN
Enumeration date
08/31/2006
Last updated
07/21/2022
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