MEDICARE: JOHN C 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	225XH1200X	Hand Occupational Therapist	006330	NY

General Provider Information

NPI Number	:	1841213881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN C HARTMAN OT

Provider Business Mailing Address
First Line	:	235 ALEXANDER ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2501
Country	:	US
Telephone Number	:	585-263-2850
Fax Number	:	585-263-2885

Provider Business Practice Location Address
First Line	:	1235 STATE ROUTE 332
Second Line	:
City	:	FARMINGTON
State	:	NY
Zip	:	14425-1077
Country	:	US
Telephone Number	:	585-924-3642
Fax Number	:	585-742-2559

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	05/29/2008

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