Individual
ELZABETH K HARTUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8805 EDWARDSBERG PL, NEW HAVEN, IN 46774-1079
(260) 246-0048
Mailing address
8805 EDWARDSBERG PL, NEW HAVEN, IN 46774-1079
(260) 246-0048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32001658A
IN
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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