Individual
MR. THEODORE HENRY BARTOSHESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1971 DUNEDIN DR, OLD HICKORY, TN 37138-4633
(302) 507-4873
Mailing address
1971 DUNEDIN DR, OLD HICKORY, TN 37138-4633
(302) 507-4873
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA0000005846
TN
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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