Individual
MRS. MELISSA MICHELLE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 336-2990
Mailing address
20409 N 17TH WAY, PHOENIX, AZ 85024-4306
(623) 328-7352
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0080
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626765
—
AZ
Enumeration date
02/07/2007
Last updated
07/08/2007
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