Individual
MRS. JILLIAN HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
4139 LYNDALE AVE S, MINNEAPOLIS, MN 55409-1446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104581
MN
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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