Individual
LANA HARDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4210 COLUMBIA RD, 12-A, AUGUSTA, GA 30907-0401
(706) 863-7694
(706) 863-1607
Mailing address
4210 COLUMBIA ROAD,, 12-A, AUGUSTA, GA 30907
(706) 863-7694
(706) 863-1607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000204
GA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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