Individual
MR. MICHAEL DAVID HARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
443 LAUREL OAK RD, VOORHEES, NJ 08043-4419
(856) 309-8508
Mailing address
443 LAUREL OAK RD, VOORHEES, NJ 08043-4419
(856) 309-8508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00284500
NJ
225200000X
Physical Therapy Assistant
J2-0000867
DE
225200000X
Physical Therapy Assistant
TEI002959
PA
Other
Enumeration date
05/24/2011
Last updated
10/23/2012
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