Individual
TAMMY BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 SANDUSKY ST., WINSTON SALEM, NC 27105
(336) 302-8181
Mailing address
4850 SANDUSKY ST, WINSTON SALEM, NC 27105-1972
(336) 302-8181
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5049
NC
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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