Individual
MRS. ERIN MARIE HARDEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 EAST GRACE ST, JASPER COUNTY HOSPITAL, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Mailing address
1104 EAST GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003264A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200307290
—
IN
Enumeration date
05/23/2006
Last updated
11/04/2008
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