Individual
JOHN THOMAS HARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
413 ZANG ST APT 513, LAKEWOOD, CO 80228-1055
(585) 503-9643
Mailing address
413 ZANG ST APT 513, LAKEWOOD, CO 80228-1055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000018258
NY
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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