Individual
MS. LUCILLE WYMER HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1775 BOSTON POST ROAD, OLD SAYBROOK, CT 06475
(860) 399-6216
(860) 399-6790
Mailing address
1775 BOSTON POST ROAD, OLD SAYBROOK, CT 06475
(860) 399-6216
(860) 399-6790
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1114
CT
172M00000X
Mechanotherapist
2306601364
VA
172M00000X
Mechanotherapist
TEI000164
PA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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