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Individual

MRS. PATRICIA A RUSSELL-HARDESTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3804 FISHINGER BLVD, HILLIARD, OH 43026-9551
(614) 111-0222
Mailing address
40 W POSSUM RD, SPRINGFIELD, OH 45506-3612
(937) 322-8301

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
33.017321
OH

Other

Enumeration date
02/27/2009
Last updated
02/27/2009
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