Provider Demographics
NPI:1548755804
Name:BARTOW, ANNEMARIE (ATC)
Entity Type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:
Last Name:BARTOW
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BRUNSWICK DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-1723
Mailing Address - Country:US
Mailing Address - Phone:732-364-6442
Mailing Address - Fax:
Practice Address - Street 1:22 BRUNSWICK DR
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-1723
Practice Address - Country:US
Practice Address - Phone:732-364-6442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer