Individual
KELLY ANN BARTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
701 W SOMERDALE RD, SOMERDALE, NJ 08083-2401
(856) 504-3150
(856) 504-3157
Mailing address
13402 TOWN CENTER BLVD, VOORHEES, NJ 08043-2673
(215) 219-7354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00583700
NJ
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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