Individual
WENDY HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
320 W MERRICK RD, FREEPORT, NY 11520-3248
(216) 526-7675
Mailing address
4730 BENTWOOD DR, BROOKLYN, OH 44144
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
006921
OH
224Z00000X
Occupational Therapy Assistant
Primary
0094254
NY
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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