Individual
MATTHEW HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
109 GOINGS RIDGE RD, HARDY, AR 72542-8810
(870) 239-1032
Mailing address
109 GOINGS RIDGE RD, HARDY, AR 72542-8810
(870) 239-1032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1349
AR
225200000X
Physical Therapy Assistant
2006012978
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142525721
—
AR
Enumeration date
07/24/2007
Last updated
09/27/2014
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