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NPI Code Detail

MEDICARE: JEANNIE MARIE BARTLEIN OT

MEDICARE:   JEANNIE MARIE BARTLEIN  OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational Therapist5893NC

General Provider Information

NPI Number : 1366168379
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNIE MARIE BARTLEIN OT
Provider Business Mailing Address
First Line : 2211 E FRANKLIN BLVD
Second Line : SUITE 100A
City : GASTONIA
State : NC
Zip : 28054-4985
Country : US
Telephone Number : 704-852-9561
Fax Number :
Provider Business Practice Location Address
First Line : 2211 E FRANKLIN BLVD STE 100A
Second Line :
City : GASTONIA
State : NC
Zip : 28054-4986
Country : US
Telephone Number : 704-852-9561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2022
Last Update Date : 09/05/2025

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Directions to “ JEANNIE MARIE BARTLEIN OT” Practice Location

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