Individual
MS. AMBER HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36047 SUNNY HILL RD, MOUNT HERMON, LA 70450-3531
(985) 515-0292
Mailing address
36047 SUNNY HILL RD, MOUNT HERMON, LA 70450-3531
(985) 515-0292
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8266
LA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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