Individual
SARA JESSE HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 E 4TH ST, SHOSHONE, ID 83352-5380
(208) 886-2228
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5578
ID
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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