| 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 |