Individual
LISA M HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
97 SPEAR ST, 140 PATRICK GYM, BURLINGTON, VT 05405-1701
(269) 998-5571
Mailing address
363 ETHAN ALLEN AVE, APT. 104, COLCHESTER, VT 05446-3319
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0068930
VT
Other
Enumeration date
02/14/2006
Last updated
04/29/2014
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