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Individual

ALYSON HOLT HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., OT

Contact information

Practice address
8909 RAND AVE, DAPHNE, AL 36526-9126
(251) 210-1632
(251) 625-3152
Mailing address
8909 RAND AVE, DAPHNE, AL 36526-9126
(251) 210-1632
(251) 625-3152

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4004
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
340274
NBCOT
AL
Enumeration date
04/20/2015
Last updated
04/20/2015
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