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NPI Code Detail

MEDICARE: MRS. NAOMIA JO HARDY OTA

MEDICARE: MRS. NAOMIA JO HARDY OTA
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
1224Z00000XOccupational Therapy Assistant003366OH

General Provider Information

NPI Number : 1699475608
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAOMIA JO HARDY OTA
Provider Business Mailing Address
First Line : 7661 SHEPHERDESS DR
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-2320
Country : US
Telephone Number : 937-414-0737
Fax Number :
Provider Business Practice Location Address
First Line : 5070 LAMME RD
Second Line :
City : MORAINE
State : OH
Zip : 45439-3266
Country : US
Telephone Number : 937-293-7703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 03/08/2023

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