Individual
MS. CARRIE ANN BARTELME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR-L
Contact information
Practice address
4062 PEACHTREE RD NE STE A-123, BROOKHAVEN, GA 30319-3021
(404) 409-7099
Mailing address
4062 PEACHTREE RD NE STE A-123, BROOKHAVEN, GA 30319-3021
(404) 409-7099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT003448
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT003448
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000947185C
—
GA
01
—
10036804
AMERIGROUP
GA
01
—
7099600
AETNA
GA
Enumeration date
04/06/2006
Last updated
06/03/2016
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