Individual
THOMAS WESLEY HARTLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4543 CHARLOTTE HWY STE 11, CLOVER, SC 29710-7057
(803) 831-1454
Mailing address
374 COUNSELORS WAY APT 303, FORT MILL, SC 29708-8648
(859) 329-7788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10358
SC
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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