Individual
DALLAS S HARTWIG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
34 HENNESSEY AVE, BRUNSWICK, ME 04011-2333
(207) 373-1101
(207) 373-1109
Mailing address
PO BOX 396, GRAY, ME 04039-0396
(207) 373-1101
(207) 373-1109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2754
ME
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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