| NPI | 1194203059 |
|---|---|
| Former Name | HANNAH ROSE HARDIN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015110) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2021-04-21 |