Individual
LISA M. HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1600 SCOTTSVILLE RD, SUITE 101, BOWLING GREEN, KY 42104-3217
(270) 781-0028
(270) 781-0007
Mailing address
PO BOX 391, BOWLING GREEN, KY 42102-0391
(270) 781-0028
(270) 781-0007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2790
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88000617
—
KY
Enumeration date
04/03/2006
Last updated
07/09/2007
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