Individual
MRS. PAMELA M HARTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
298 WINTER RD, HEPHZIBAH, GA 30815-6702
(706) 231-8250
Mailing address
298 WINTER RD, HEPHZIBAH, GA 30815-6702
(706) 231-8250
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001806
GA
224Z00000X
Occupational Therapy Assistant
OTA3403
SC
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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