Basic Information
| Provider Information | |||||||||
| NPI: | 1851670939 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARTOSH | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | LINN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 CUB CT | ||||||||
| Address2: | |||||||||
| City: | BAYFIELD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 811229827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9707993150 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2911 JUNCTION CREEK RD | ||||||||
| Address2: | |||||||||
| City: | DURANGO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 81301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9702472215 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2011 | ||||||||
| LastUpdateDate: | 08/08/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 512 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.