| NPI | 1588163331 |
|---|---|
| Former Name | REBECCA HARDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23464) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: MA 23464) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2020-02-12 |