Individual
CHANNING HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 491-3856
(812) 759-1586
Mailing address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 491-3856
(812) 759-1586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003163A
IN
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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