Individual
ANASTASIA JOAN HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14301 EWING AVE S, BURNSVILLE, MN 55306-5515
(952) 746-5350
Mailing address
4475 EMPRESS WAY N UNIT 3, HUGO, MN 55038-3813
(651) 308-6979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201342
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201342
MN DEPARTMENT OF HEALTH
MN
Enumeration date
06/21/2007
Last updated
07/08/2007
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