Provider Demographics
NPI:1477706299
Name:BARTHOLDI, ALEXIA CLAIRE STEVENS (OTR/L SIPT CERTIFIED)
Entity Type:Individual
Prefix:
First Name:ALEXIA
Middle Name:CLAIRE STEVENS
Last Name:BARTHOLDI
Suffix:
Gender:F
Credentials:OTR/L SIPT CERTIFIED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5341
Mailing Address - Country:US
Mailing Address - Phone:845-742-1829
Mailing Address - Fax:
Practice Address - Street 1:232 BLOOMER RD
Practice Address - Street 2:
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-6229
Practice Address - Country:US
Practice Address - Phone:845-227-3240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012000-1251E00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No251E00000XAgenciesHome Health