Individual
MRS. ANN M. HARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
14 BOVINGTON LN, FAYETTEVILLE, NY 13066-9750
(315) 569-7654
Mailing address
14 BOVINGTON LN, FAYETTEVILLE, NY 13066-9750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014402
NY
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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