Individual
ANDREW D. HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
8811 WARREN H ABERNATHY HWY, SPARTANBURG, SC 29301-1228
(864) 574-7282
(864) 574-7664
Mailing address
PO BOX 629, MAULDIN, SC 29662-0629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2247
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1870
—
SC
Enumeration date
05/03/2006
Last updated
11/21/2011
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