Individual
CHIRSOPHER HARDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
513 E WHITAKER MILL RD, RALEIGH, NC 27608-2633
(919) 828-2348
Mailing address
1705 CRAG BURN LN, RALEIGH, NC 27604-6901
(919) 880-1833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8215
NC
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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