Most Relevant Information
Provider Data
| NPI Number: | 1003395120 |
| Provider Name: | ELISE HARDY MOT, OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 31005817A |
Most Important Dates
| Enumeration Date: | 08/09/2018 |
| Last Updated: | 08/09/2018 |
Provider Practice Location
10388 SPLENDOR WAY
INDIANAPOLIS
IN
462343674
Practice Location Phone/Fax
| Phone: | 5747216411 |
| Fax: |
Provider Mailing Location
10388 SPLENDOR WAY
INDIANAPOLIS
IN
462343674
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |