Individual
BRIAN EDWARD HARTZELL
Active
Individual
BRIAN EDWARD HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002379
DE
225100000X
Physical Therapist
Primary
PT022528
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528217098
CHAMPUS TRICARE
—
05
—
1528217098
—
DE
01
—
3581672000
IBC AMERIHEALTH
—
Enumeration date
09/09/2008
Last updated
06/24/2025
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