Individual
JACOB K BARTHOLOMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1107 NE 45TH ST, SUITE 100, SEATTLE, WA 98105-4690
(206) 545-7844
(206) 545-7843
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
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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