Individual
AMANDA HARDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 601-4303
Mailing address
2913 WINDMILL CIR, NORMAN, OK 73072-7448
(405) 808-7818
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/27/2016
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