Lisa A Hartl

NPI #1083809313 in Gresham, Oregon

Provider Information

NPI Number: 1083809313
Entity Type: Individual
Name: Lisa A Hartl
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 10, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 3457 NE DIVISION ST
City: Gresham
State: Oregon
ZIP Code: 97030-4602
Phone: (503) 667-1965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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