Individual
MRS. MICKEY ANN HARDCASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1701 N ALSTON ST, FOLEY, AL 36535-2246
(251) 943-2781
Mailing address
9137 FEATHER TRL, FAIRHOPE, AL 36532-7611
(251) 990-3950
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6619
AL
Other
Enumeration date
01/18/2015
Last updated
01/18/2015
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