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MR. MATTHEW DOUGLAS HARTL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
58 CLINTON ST, HOMER, NY 13077-1025
(607) 749-1240
Mailing address
58 CLINTON ST, HOMER, NY 13077-1025
(607) 749-1240

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003329-1
NY

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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