Provider Demographics
NPI:1558633404
Name:BARTOLOMEO, ROSALIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ROSALIE
Middle Name:
Last Name:BARTOLOMEO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5957 US ROUTE 20
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:NY
Mailing Address - Zip Code:13084-9701
Mailing Address - Country:US
Mailing Address - Phone:315-677-3152
Mailing Address - Fax:
Practice Address - Street 1:5957 US ROUTE 20
Practice Address - Street 2:
Practice Address - City:LA FAYETTE
Practice Address - State:NY
Practice Address - Zip Code:13084-9701
Practice Address - Country:US
Practice Address - Phone:315-677-3152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7246359225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist