Individual
MRS. ROSEMARIE ELLEN HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7634 S 400 W, REXBURG, ID 83440-4566
(208) 356-0579
Mailing address
7634 S 400 W, REXBURG, ID 83440-4566
(208) 356-0579
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-2410
ID
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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