Individual
AMANDA HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
Mailing address
238 W WILLIAMS ST, POSTVILLE, IA 52162-7786
(563) 451-2714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
079970
IA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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