Individual
MS. KRISTAN K HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4232 E CACTUS RD, SUITE 110, PHOENIX, AZ 85032-7602
(602) 996-9949
(602) 996-6760
Mailing address
PO BOX 32490, PHOENIX, AZ 85064-2490
(602) 230-4478
(602) 230-9962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3989
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387630
—
AZ
Enumeration date
01/10/2007
Last updated
10/16/2007
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