Individual
MRS. CARRI A HAERTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
206 W BROADWAY, TRENTON, IL 62293-1110
(618) 224-9118
(618) 224-2129
Mailing address
849 HARBOR WOODS DRIVE, FAIRVIEW HEIGHTS, IL 62208-3452
(618) 830-6733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011388
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070011388
PT
IL
Enumeration date
03/09/2006
Last updated
08/27/2014
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