Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 8484 | NC |
NPI | 1003160607 |
---|---|
Provider Name | Meghan Hardin |
First Address | Beaver, WV 25813-8948 |
Second Address | Polkton, NC 28135-9119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2012 |
Last Update Date | 04/11/2012 |