| NPI | 1952602120 |
|---|---|
| Former Name | AMY MARIE BARTAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: PA OEG002439) |
| Additional Taxonomies | 152WV0400X Optometrist Vision Therapy (Licence: NJ 27OA00627300) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2011-08-17 |