Provider Demographics
NPI:1033229489
Name:HARTSEL, CYNTHIA (PT, PHD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:HARTSEL
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:HODGSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 870
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92564-0870
Mailing Address - Country:US
Mailing Address - Phone:951-303-3566
Mailing Address - Fax:951-303-3577
Practice Address - Street 1:31720 US HIGHWAY 79 S
Practice Address - Street 2:SUITE 101
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-5895
Practice Address - Country:US
Practice Address - Phone:951-303-3566
Practice Address - Fax:951-303-3577
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33064225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist