National Provider Identifier

Beverly A Hartz, PT, ATC

Beverly A Hartz, PT, ATC is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 277-8020.

NPI 1710196282Ithaca, NYPhysical Therapist

Profile Overview

NPI
1710196282
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
May 22, 2007
Last Updated
July 08, 2007

Practice Location

  • 1001 W Seneca St
  • Suite 100
  • Ithaca, NY 14850-3342

Phone: (607) 277-8020

Mailing Address

  • 156 Autumn Ridge Cir
  • Ithaca, NY 14850-8542

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1710196282
Entity Type
Individual
Last Name
Hartz
First Name
Beverly
Middle Name
A
Name Prefix
Mrs.
Credential
PT, ATC
Mailing Street Address
156 Autumn Ridge Cir
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-8542
Mailing Country
US
Mailing Phone
(607) 273-2466
Practice Street Address
1001 W Seneca St
Practice Address Line 2
Suite 100
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3342
Practice Country
US
Practice Phone
(607) 277-8020
Practice Fax
(607) 277-7961
Enumeration Date
May 22, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)