Individual
SOPHIA HARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
ROUTE 7, BOX 717, CANAAN, CT 06018
(917) 623-0645
Mailing address
ROUTE 7, BOX 717, CANAAN, CT 06018
(917) 623-0645
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001361-1
NY
Other
Enumeration date
11/02/2013
Last updated
11/22/2023
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