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Individual

MS. LUCILLE WYMER HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

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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