Provider Demographics
NPI:1386188605
Name:BARTOLINE, JEANETTE R (PT)
Entity Type:Individual
Prefix:MS
First Name:JEANETTE
Middle Name:R
Last Name:BARTOLINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 INTERNATIONAL CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1321
Mailing Address - Country:US
Mailing Address - Phone:410-667-7200
Mailing Address - Fax:888-502-0873
Practice Address - Street 1:185 OLD BROADWAY
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-3801
Practice Address - Country:US
Practice Address - Phone:914-478-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018113-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist