NPI | 1528513124 |
---|---|
Former Name | REBECCA J HARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070022562) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070022562) |
Enumeration Date | 2016-08-24 |
Last Update Date | 2020-09-29 |