Individual
DUSTIN MONROE HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LAT, ATC
Contact information
Practice address
4625 E STOP 11 RD, SUITE A, INDIANAPOLIS, IN 46237-9120
(317) 884-3380
(317) 884-3390
Mailing address
4625 E STOP 11 RD, SUITE A, INDIANAPOLIS, IN 46237-9120
(317) 884-3380
(317) 884-3390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003787A
IN
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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