Individual
ANNA HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-3260
(509) 633-3212
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-3260
(509) 633-3212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60598621
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055346
—
WA
Enumeration date
02/10/2016
Last updated
09/14/2020
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