Most Relevant Information
Provider Data
| NPI Number: | 1003578048 |
| Provider Name: | ELLIE HARDNACK |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2021 |
| Last Updated: | 10/12/2021 |
Provider Practice Location
6510 SUWANEE RD
PENSACOLA
FL
325264100
Practice Location Phone/Fax
| Phone: | 8503322324 |
| Fax: |
Provider Mailing Location
6510 SUWANEE RD
PENSACOLA
FL
325264100
Provider Mailing Phone/Fax
| Phone: | 8503322324 |
| Fax: |