Individual
MR. LOREN JAY HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
69954 COUNTY ROAD 11, SUITE A, NAPPANEE, IN 46550-9420
(574) 773-7733
(574) 773-7133
Mailing address
69954 COUNTY ROAD 11, SUITE A, NAPPANEE, IN 46550-9420
(574) 773-7733
(574) 773-7133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05003793A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195425
PHYSICAL THERAPY
IN
Enumeration date
12/12/2006
Last updated
07/09/2007
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