Individual
MICHELLE HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2453 GUM BRANCH RD STE 600, JACKSONVILLE, NC 28540-4008
(910) 353-9800
(910) 455-2083
Mailing address
106 CHRISTY DR, BEULAVILLE, NC 28518-7711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6734
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6837
NC LICENSE
NC
Enumeration date
04/11/2018
Last updated
02/13/2024
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