Individual
LILLY HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
284 WOOD RD, FULTON, MS 38843-8528
(662) 322-2680
Mailing address
284 WOOD RD, FULTON, MS 38843-8528
(662) 322-2680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4536
MS
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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