Provider Demographics
NPI:1417462854
Name:BARTLETT, CHARMINE KAY ARBOLENTE (PT, DPT, GCS)
Entity Type:Individual
Prefix:
First Name:CHARMINE KAY
Middle Name:ARBOLENTE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26663 LYDIA JOE DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35613-7739
Mailing Address - Country:US
Mailing Address - Phone:256-400-0250
Mailing Address - Fax:256-692-6232
Practice Address - Street 1:26663 LYDIA JOE DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35613-7739
Practice Address - Country:US
Practice Address - Phone:256-400-0250
Practice Address - Fax:256-692-6232
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5599225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist