Individual
TERRY LEE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
154 OLIVE ST, HUDSON, NC 28638-2739
(828) 525-0543
Mailing address
PO BOX 991, HUDSON, NC 28638-0991
(828) 525-0543
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3860
NC
Other
Enumeration date
11/18/2012
Last updated
11/18/2012
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