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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW DOUGLAS HARTL, COTA

Active Sole Proprietor

MR. MATTHEW DOUGLAS HARTL, COTA is a Occupational Therapy Assistant healthcare provider located in HOMER, New York. NPI 1538442298 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HOMER, NY

Registration Details

NPI Number
1538442298
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2011 (14.920286661173 yrs)
Last Updated
Sep 20, 2011
License
003329-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
58 CLINTON ST
HOMER, NY, 130771025
Browse NY providers · Browse ZIP 13077
Phone
6077491240
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.