Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 008498 | OH |
NPI | 1043582257 |
---|---|
Provider Name | Mr. Shawn Hartman |
First Address | Hamilton, OH 45013-3961 |
Second Address | Hamilton, OH 45013-3961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |