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NPI Code Detail

MEDICARE: SUSAN REBECCA HARDIN MS, OTR/L

MEDICARE: SUSAN REBECCA HARDIN MS, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistKY-R3668KY

General Provider Information

NPI Number : 1821278748
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN REBECCA HARDIN MS, OTR/L
Provider Business Mailing Address
First Line : 112 AZALEA AVE
Second Line :
City : BARDSTOWN
State : KY
Zip : 40004-6800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 N HURSTBOURNE PKWY STE 200
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-5158
Country : US
Telephone Number : 502-350-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2007
Last Update Date : 10/23/2012

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