Individual
JENICA J BARTOLOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CLT
Contact information
Practice address
1905 HIGHWAY AF, SULLIVAN, MO 63080-1148
(573) 259-8724
Mailing address
PO BOX 25, SULLIVAN, MO 63080-0025
(573) 259-8724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012028488
MO
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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