Individual
JOANNE MARIE HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
53940 CARMICHAEL DR, SOUTH BEND, IN 46635-1564
(574) 335-6212
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05001784A
STATE LICENSE
IN
Enumeration date
02/25/2022
Last updated
04/08/2024
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