Individual
REBA RENEE HARTLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CLT
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 446-4335
Mailing address
374 COUNSELORS WAY APT 303, FORT MILL, SC 29708-8648
(249) 922-8907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13662
NC
225X00000X
Occupational Therapist
OT.6010
SC
Other
Enumeration date
11/18/2020
Last updated
04/19/2022
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