Provider Demographics
NPI:1255736286
Name:HARTLE, LUMINITA CRISTINA (DT)
Entity type:Individual
Prefix:
First Name:LUMINITA
Middle Name:CRISTINA
Last Name:HARTLE
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 S COTTAGE GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-5976
Mailing Address - Country:US
Mailing Address - Phone:217-220-5833
Mailing Address - Fax:
Practice Address - Street 1:1707 S COTTAGE GROVE AVE
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-5976
Practice Address - Country:US
Practice Address - Phone:217-220-5833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist