Individual
CARISSA MARIE HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2080 W EAU GALLIE BLVD, MELBOURNE, FL 32935-3152
(407) 694-3603
(321) 296-7130
Mailing address
1194 BACA AVE NW, PALM BAY, FL 32907-9404
(505) 402-8414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3133
TN
225X00000X
Occupational Therapist
Primary
25043
FL
Other
Enumeration date
11/27/2018
Last updated
03/04/2024
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