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WILLIAM MICHEAL HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1251 S MAIN ST, MIDDLETOWN, CT 06457-5050
(860) 347-4426
(860) 704-5998
Mailing address
1251 S MAIN ST, MIDDLETOWN, CT 06457-5050
(860) 347-4426
(860) 704-5998

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1192
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080001192CT01
BLUE CROSS BLUE SHEILD
CT
Enumeration date
08/01/2006
Last updated
07/08/2007
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