Healthcare Provider Details

I. General information

NPI: 1538130505
Provider Name (Legal Business Name): ROBERT S BARTOSHESKY P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 MOUNT HERMON RD
SALISBURY MD
21804-5105
US

IV. Provider business mailing address

949 MOUNT HERMON RD
SALISBURY MD
21804-5105
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-9000
  • Fax: 410-543-9033
Mailing address:
  • Phone: 410-543-9000
  • Fax: 410-543-9033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15888
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: