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Individual
LAURA JO HARDEBECK
Active
Individual
LAURA JO HARDEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19501
CA
225100000X
Physical Therapist
Primary
2356
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0257960
WASHINGTON L& I
—
01
—
0328996
WA L&I
OR
05
—
052154
—
OR
01
—
P00022831
RR MEDICARE
OR
Enumeration date
03/01/2006
Last updated
01/12/2021
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