Individual
VICKIE K HARTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
141 BAYBERRY DR, OZARK, MO 65721-9065
(843) 798-2935
Mailing address
141 BAYBERRY DR, OZARK, MO 65721-9065
(843) 798-2935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3012
NH
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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