Individual
JUSTIN DALE HARDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4426 BEE RIDGE RD, SARASOTA, FL 34233-2502
(941) 371-5002
Mailing address
4426 BEE RIDGE RD, SARASOTA, FL 34233-2502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30376
FL
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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