MEDICARE: HARTT2HEART, INCORPORATED

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1497034540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARTT2HEART, INCORPORATED

Provider Business Mailing Address
First Line	:	PO BOX 2273
Second Line	:
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91610-0273
Country	:	US
Telephone Number	:	818-308-7141
Fax Number	:	818-301-2660

Provider Business Practice Location Address
First Line	:	12626 RIVERSIDE DRIVE STE. 512
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3460
Country	:	US
Telephone Number	:	818-308-7141
Fax Number	:	818-301-2660

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY L HARTT
Credential	:	PT
Telephone Number	:	818-308-7141

Provider Enumeration Date	:	08/08/2011
Last Update Date	:	12/13/2019

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