Individual
LISA ANN HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2058 HGHWAY 82, CUTHBUERT, GA 39840
(229) 310-5473
Mailing address
PO BOX 187, SHELLMAN, GA 39886-0187
(229) 310-5473
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000627
GA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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