Individual
ROBERT HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
610 E 10TH ST, SEDALIA, MO 65301-5938
(660) 827-3423
Mailing address
610 E 10TH ST, SEDALIA, MO 65301-5938
(660) 827-3423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012002852
MO
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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