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Individual
MR. TODD E BARTLEY
Active
Individual
MR. TODD E BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
RT001005A
PA
2255A2300X
Athletic Trainer
Primary
RT001005A
PA
Other
Enumeration date
09/13/2005
Last updated
01/16/2012
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