Individual
TYSON BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
3235 OLIVET CHURCH RD STE D, PADUCAH, KY 42001-9545
(270) 443-5712
Mailing address
2432 LYNNWOOD DR, PADUCAH, KY 42001-8639
(731) 618-7388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
288107
KY
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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