Individual
ELISE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
10388 SPLENDOR WAY, INDIANAPOLIS, IN 46234-3674
(574) 721-6411
Mailing address
10388 SPLENDOR WAY, INDIANAPOLIS, IN 46234-3674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005817A
IN
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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