Individual
RIYADH L BARTOLOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26817 N 176TH DR, SURPRISE, AZ 85387-1065
(323) 443-4984
Mailing address
26817 N 176TH DR, SURPRISE, AZ 85387-1065
(323) 443-4984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
047247
AZ
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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