Individual
MARY GLOAN M BARTOLOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3829
Mailing address
17233 N HOLMES BLVD, STE 1650, PHOENIX, AZ 85053-2030
(602) 547-1836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7531
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192837
—
AZ
Enumeration date
07/19/2006
Last updated
02/08/2022
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