Individual
HEATHER RACHELLE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1030 JEROME WAY, APOPKA, FL 32703-6031
(407) 617-0782
Mailing address
1030 JEROME WAY, APOPKA, FL 32703-6031
(407) 617-0782
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25721
FL
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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