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NPI Code Detail

MEDICARE: ANNA HARDAGE OTD, OTR/L

MEDICARE:   ANNA  HARDAGE  OTD, 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 TherapistOTR3709AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215644760
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA HARDAGE OTD, OTR/L
Provider Business Mailing Address
First Line : 456 BRODRICK ST
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901
Country : US
Telephone Number : 501-428-3078
Fax Number :
Provider Business Practice Location Address
First Line : 456 BRODRICK ST
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-2930
Country : US
Telephone Number : 17-014-3485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2022
Last Update Date : 04/01/2024

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Directions to “ ANNA HARDAGE OTD, OTR/L” Practice Location

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