Individual
MS. MEGAN SEAN HARDISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4201 LAKE BOONE TRAIL SUITE 4, RALEIGH, NC 27607-7511
(919) 968-3456
(919) 932-3456
Mailing address
1829 EAST FRANKLIN STREET, BLDG. # 600, CHAPEL HILL, NC 27214
(919) 968-3456
(919) 932-3456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11412
NC
2251P0200X
Pediatric Physical Therapist
Primary
11412
NC
Other
Enumeration date
02/13/2008
Last updated
09/15/2008
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