Doctor Name: | MARY GLOAN M BARTOLOME |
NPI Number: | 1093734261 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 7531 |
Business Practice Address: | 13677 W Mcdowell Rd Goodyear, AZ - 853952635 |
Business Phone Number: | 6238821500 |
Business Fax Number: | |
Mailing Address: | 15055 W Elm St, GOODYEAR |
State: | AZ |
Postal Code: | 853957723 |
Phone Number: | 6233856381 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 05/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |