Individual
NATHAN A HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
2422 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
(208) 819-9362
Mailing address
2422 PARTRIDGE LOOP, POST FALLS, ID 83854-4944
(208) 819-9362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-957
ID
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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