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NPI Code Detail

MEDICARE: MRS. ERIN LOUISE BARTUCCO PT

MEDICARE: MRS. ERIN LOUISE BARTUCCO PT
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
12251P0200XPediatric Physical Therapist34549CA

General Provider Information

NPI Number : 1992933485
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIN LOUISE BARTUCCO PT
Provider Business Mailing Address
First Line : 1800 HARRISON ST
Second Line : FL 7
City : OAKLAND
State : CA
Zip : 94612-3466
Country : US
Telephone Number : 916-485-6711
Fax Number : 916-485-2653
Provider Business Practice Location Address
First Line : 3205 HURLEY WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-3853
Country : US
Telephone Number : 916-485-6711
Fax Number : 916-485-2653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 01/03/2022

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