Individual
JAYLEN HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
707 N ELM ST, HIGH POINT, NC 27262-3917
(336) 885-0141
Mailing address
11364 ROLLING RIVER BLVD, JACKSONVILLE, FL 32219-5108
(813) 722-1766
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18170
NC
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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