Provider Demographics
NPI:1114045564
Name:BARTEL, JANE BORYS (MSPT)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:BORYS
Last Name:BARTEL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 ALBERT RILL RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-1019
Mailing Address - Country:US
Mailing Address - Phone:410-374-1844
Mailing Address - Fax:
Practice Address - Street 1:2210 ALBERT RILL RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-1019
Practice Address - Country:US
Practice Address - Phone:410-374-1844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14491225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist