Kelly Ann Bartock, OTR/L
Individual provider Active NPI Occupational Therapist · Somerdale, NJ
NPI 1275870487 · NPPES record last updated Jan 8, 2013
Key facts
- NPI
- 1275870487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR00583700 (NJ)
- Practice address
- 701 W Somerdale Rd
Somerdale, NJ 08083-2401 - Phone
- (856) 504-3150
- Fax
- (856) 504-3157
- NPI assigned
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00583700 | NJ | Yes |
Addresses
Primary practice location
701 W Somerdale Rd
Somerdale, NJ 08083-2401
Mailing address
13402 Town Center Blvd
Voorhees, NJ 08043-2673
Phone (215) 219-7354
Other providers in Somerdale, NJ
- Alan D. Budman
- Am Producta USA LLC
- Assuring Support Services
- Geraldine Atkins
- Christopher J Barone
- Celeste E Battle
- Fitzgerald Allen Benson III
- Andrew Scott Blackstone
- George Sullivan Bradbury III
- Bravo Medical, LLC
All providers in Somerdale, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.