Provider Demographics
NPI:1497064034
Name:HARTELT, DEBORAH (RRT, CRT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:HARTELT
Suffix:
Gender:F
Credentials:RRT, CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13102 MIDWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-2313
Mailing Address - Country:US
Mailing Address - Phone:301-984-2921
Mailing Address - Fax:
Practice Address - Street 1:9707 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3348
Practice Address - Country:US
Practice Address - Phone:301-693-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL00054002279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care