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Individual

MRS. LESLIE A HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
(806) 771-8009
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
(806) 771-8009

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105722
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146593100
FIRSTCARE
TX
05
218998701
TX
01
8T4357
BLUE CROSS BLUE SHIELD
TX
01
P00304752
MEDICARE RAILROAD
TX
Enumeration date
07/19/2005
Last updated
01/02/2019
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