Individual
KELSEY SUEANN HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 WYOMING AVE, WYOMING, PA 18644-1620
(570) 336-0309
Mailing address
PO BOX 241, DALLAS, PA 18612-0241
(570) 336-0309
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010041
PA
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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