Individual
NOAH HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 FAIRBURN AVE, BENTON, LA 71006-3502
(318) 935-9075
(318) 935-9076
Mailing address
235 FAIRBURN AVE, BENTON, LA 71006-3502
(318) 935-9075
(318) 935-9076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11964
LA
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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