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Individual

MRS. SHERIA ANN HARDEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3207 MESENA LN, AUGUSTA, GA 30909-9658
(706) 854-0640
(706) 854-0641
Mailing address
3207 MESENA LN, AUGUSTA, GA 30909-9658
(706) 854-0640
(706) 854-0641

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT000299
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT000299
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156458561A
GA
Enumeration date
08/26/2013
Last updated
08/26/2013
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