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Individual

MR. THOMAS ANTHONY BARTOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1200 W MAIN ST, JACKSONVILLE, AR 72076-4348
(501) 982-0591
(501) 982-0592
Mailing address
141 CASTLE HEIGHTS DR, CABOT, AR 72023-8330
(501) 941-3471
(501) 982-0592

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1796
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161147721
AR
01
5Y916
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/16/2006
Last updated
09/15/2008
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