Doctor Name: | ELZABETH K HARTUP |
NPI Number: | 1023349255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COTA |
License Number: | 32001658A |
Business Practice Address: | 8805 Edwardsberg Pl New Haven, IN - 467741079 |
Business Phone Number: | 2602460048 |
Business Fax Number: | |
Mailing Address: | 8805 Edwardsberg Pl, NEW HAVEN |
State: | IN |
Postal Code: | 467741079 |
Phone Number: | 2602460048 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2010 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 32001658A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |