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Individual

HEATHER HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7542 SW 128TH LN, LAKE BUTLER, FL 32054-7550
(352) 316-9868
Mailing address
7542 SW 128TH LN, LAKE BUTLER, FL 32054-7550
(352) 316-9868

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 24585
FL

Other

Enumeration date
05/04/2015
Last updated
05/04/2015
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