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Individual

MR. JACK HARDING III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
421 E MISSION AVE, ESCONDIDO, CA 92025-1909
(760) 747-0430
Mailing address
421 E MISSION AVE, ESCONDIDO, CA 92025-1909

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11707
CA

Other

Enumeration date
01/28/2015
Last updated
01/28/2015
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