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NPI Code Detail

MEDICARE: LYNN HARTELL PT

MEDICARE:   LYNN  HARTELL  PT
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
12251X0800XOrthopedic Physical TherapistPT 21686CA

General Provider Information

NPI Number : 1134201692
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN HARTELL PT
Provider Business Mailing Address
First Line : PO BOX 2036
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93120-2036
Country : US
Telephone Number : 510-528-1120
Fax Number : 510-528-1120
Provider Business Practice Location Address
First Line : 2917 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3309
Country : US
Telephone Number : 805-845-2535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 11/04/2014

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Directions to “ LYNN HARTELL PT” Practice Location

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