Individual
MRS. BEVERLY A HARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1001 W SENECA ST, SUITE 100, ITHACA, NY 14850-3342
(607) 277-8020
(607) 277-7961
Mailing address
156 AUTUMN RIDGE CIR, ITHACA, NY 14850-8542
(607) 273-2466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007864-1
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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