Provider Demographics
NPI:1477671303
Name:BARTHELEMY, LISA ELAINE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ELAINE
Last Name:BARTHELEMY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1556 CHATEAUX DE VILLE CT
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-1710
Mailing Address - Country:US
Mailing Address - Phone:727-501-4934
Mailing Address - Fax:
Practice Address - Street 1:7380 ULMERTON RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4512
Practice Address - Country:US
Practice Address - Phone:727-330-9750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11787225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist