Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1487894606 |
---|---|
Provider Name | Perry Hartmann |
First Address | Milford, PA 18337-7338 |
Second Address | Montrose, NY 10548-1454 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2009 |
Last Update Date | 27/02/2009 |