MEDICARE: ERIC J HARTMAN OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	287682-4201	UT

General Provider Information

NPI Number	:	1013924885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC J HARTMAN OT

Provider Business Mailing Address
First Line	:	PO BOX 30180
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84130-0180
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W LAYTON PKWY
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-3692
Country	:	US
Telephone Number	:	801-543-6070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	02/13/2025

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