Individual
DR. ROBERT TODD HARTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.A, C.M.T.
Contact information
Practice address
1600 DOVE ST, SUITE 100, NEWPORT BEACH, CA 92660-2432
(949) 502-3388
Mailing address
2555 MAIN ST, APT 1070, IRVINE, CA 92614-3201
(949) 351-4714
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60082
CA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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