Individual
JOHNNY M BARTHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
12276 SAN JOSE BLVD STE 717, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32223-8674
(904) 288-9604
(904) 288-9643
Mailing address
PO BOX 40767, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32203-0767
(904) 376-3707
(904) 391-5807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7355
FL
Other
Enumeration date
11/01/2006
Last updated
02/04/2015
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