Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1300X | Human Factors | PT 12435 | FL |
Y | 225XH1300X | Human Factors | PT 12435 | FL |
NPI | 1962704684 |
---|---|
Provider Name | Ms. Patricia Mary Bartolucci |
First Address | Indian Rocks Beach, FL 33785-3725 |
Second Address | Indian Rocks Beach, FL 33785-3725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2010 |
Last Update Date | 01/12/2010 |