Individual
MARY CATHERINE HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 WESTERN BLVD, TARBORO, NC 27886-4017
(252) 823-0401
Mailing address
1000 WESTERN BLVD, TARBORO, NC 27886-4017
(252) 823-0401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7092
NC
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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