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Individual

CHARLES J HARDESTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
102 WILLIAMS RD, NICHOLASVILLE, KY 40356-1917
(859) 881-0333
Mailing address
1745 BLUE LICKS RD, LEXINGTON, KY 40504-2216
(502) 599-6938

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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