Individual
KACIE HARDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 HOLIDAY DR, SULPHUR SPRINGS, TX 75482-4707
(903) 335-8727
Mailing address
1115 CARTER ST, SULPHUR SPRINGS, TX 75482-4418
(903) 439-5612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214410
TX
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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