Individual
MS. SUSAN BARTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7855 HOWELL PLACE BLVD, STE 220, BATON ROUGE, LA 70807-5256
(225) 454-6005
(225) 454-6018
Mailing address
7855 HOWELL PLACE, STE. 220, BATON ROUGE, LA 70807
(225) 454-6005
(225) 454-6018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00571
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376751263
BCBS
LA
Enumeration date
03/03/2009
Last updated
03/03/2009
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