Individual
KACI HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5400 LAUREL LAKE DR, WACO, TX 76710-2835
(254) 399-6633
Mailing address
723 BRADLEY ST, GROESBECK, TX 76642-2026
(254) 203-0794
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211907
TX
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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