Individual
DANETTA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
902 NORTHSIDE DR, PERRY, GA 31069-3344
(478) 987-1610
(973) 965-4580
Mailing address
902 NORTHSIDE DR, PERRY, GA 31069-3344
(478) 987-1610
(973) 965-4580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005136
GA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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