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MATTHEW HARDIN PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1619177904

Individual Registrant:
 MATTHEW  HARDIN PTA
Gender: M
Sole Proprietor

Location and contact information for practice:
109 GOINGS RIDGE RD  HARDY, AR 72542-8810 US
Tel: 870-239-1032  Fax: --

Contact information for business:
109 GOINGS RIDGE RD  HARDY, AR 72542-8810 US
Tel: 870-239-1032  Fax: --

Registration Information:
NPI: 1619177904
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
AR1349
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
MO2006012978

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
142525721AR05




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