Individual
MR. RICHARD WAYNE HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8055 ADDISON RD, MASURY, OH 44438-1204
(330) 448-6964
Mailing address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(610) 925-4379
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5387
OH
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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