Individual
REBECCA HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1306 S KING ST, WINDSOR, NC 27983-9663
(252) 794-5146
Mailing address
1306 S KING ST, WINDSOR, NC 27983-9663
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1733
NC
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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