Doctor Name: | MS. LINDA ANN BARTOLUCCI |
NPI Number: | 1669814620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5741 |
Business Practice Address: | 2030 Fisherman Bay Rd Apt F Box 547 Lopez Island, WA - 982618518 |
Business Phone Number: | 3604682482 |
Business Fax Number: | |
Mailing Address: | Po Box 547, LOPEZ ISLAND |
State: | WA |
Postal Code: | 982610547 |
Phone Number: | 3604682482 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2013 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 5741 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |