Individual
LUMINITA CRISTINA HARTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
1707 S COTTAGE GROVE AVE, URBANA, IL 61801-5976
(217) 220-5833
Mailing address
1707 S COTTAGE GROVE AVE, URBANA, IL 61801-5976
(217) 220-5833
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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