Individual
JACOB K BARTHOLOMY
Active
Individual
JACOB K BARTHOLOMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008321
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00852428
RAILROAD MEDICARE
WV
Enumeration date
04/07/2006
Last updated
09/10/2015
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