Individual
MS. JUDITH DEQUERA HARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
401 E 1ST ST STE B, VIDALIA, GA 30474-4624
(912) 403-3300
(912) 209-0166
Mailing address
331 JAMES ST, VIDALIA, GA 30474-5651
(912) 293-7252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006119
GA
225100000X
Physical Therapist
Primary
PT006119
GA
Other
Enumeration date
04/14/2008
Last updated
10/06/2021
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