-- LISA A HARTL --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1083809313- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3457 NE DIVISION ST, GRESHAM, OR, 970304602
- Phone
- (503) 667-1965
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #8373