Healthcare Provider Details

I. General information

NPI: 1033173984
Provider Name (Legal Business Name): PATRICIA BARTELS PT, OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SAN PEDRO DR SE
ALBUQUERQUE NM
87108-5153
US

IV. Provider business mailing address

2401 MORROW RD NE
ALBUQUERQUE NM
87106-2519
US

V. Phone/Fax

Practice location:
  • Phone: 505-265-1711
  • Fax:
Mailing address:
  • Phone: 505-256-0816
  • Fax: 505-256-0816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number934
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: