Provider Demographics
NPI:1376290270
Name:JANELLE BARTLETT OT
Entity Type:Organization
Organization Name:JANELLE BARTLETT OT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:716-417-1571
Mailing Address - Street 1:648 GRASSWREN WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-9143
Mailing Address - Country:US
Mailing Address - Phone:716-417-1571
Mailing Address - Fax:
Practice Address - Street 1:309 PINEVIEW DR
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3660
Practice Address - Country:US
Practice Address - Phone:716-417-1571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine