Individual
BRIANNA MICHELLE HARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
409 PLEASANT HOME RD, MARTINEZ, GA 30907-3523
(706) 863-6030
Mailing address
1080 ROSLAND CIR, AUGUSTA, GA 30909-9840
(762) 218-1518
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002964
GA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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