Individual
CHARLES RAY HARTMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5500 BROOKTREE RD, SUITE 102, WEXFORD, PA 15090-9260
(814) 235-2032
(814) 235-6223
Mailing address
5500 BROOKTREE RD, SUITE 102, WEXFORD, PA 15090-9260
(814) 235-2032
(814) 235-6223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000534L
PA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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