Provider Demographics
NPI:1578716635
Name:HARTMAN, MARI-CAY NELSON (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARI-CAY
Middle Name:NELSON
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7412
Mailing Address - Country:US
Mailing Address - Phone:800-427-1902
Mailing Address - Fax:610-867-1879
Practice Address - Street 1:3534 LINDEN ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-1134
Practice Address - Country:US
Practice Address - Phone:610-837-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-02
Last Update Date:2008-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000413L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist