Individual
DALTON ANDREW BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 APRIL AVE, CARMI, IL 62821
(618) 382-2771
Mailing address
912 CO RD 1350 N, CARMI, IL 62821
(618) 384-1341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012845
IL
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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