Provider Demographics
NPI:1164501268
Name:BARTL, ALEX G (OT)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:G
Last Name:BARTL
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1269 BELFERN DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-9028
Mailing Address - Country:US
Mailing Address - Phone:360-312-1137
Mailing Address - Fax:
Practice Address - Street 1:805 W ORCHARD DR STE 2
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1759
Practice Address - Country:US
Practice Address - Phone:360-752-1575
Practice Address - Fax:360-756-0691
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00000329225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand