NPI 1033719208

Shanon Imena Hardin, CP

Practitioner Prosthetist Danville, IL

Practice location

Address: 1900 E Main St, Danville, IL 61832-5100
Phone: (217) 554-3000
Mailing address: 6007 Snowy Egret Ln, Greenacres, FL 33415-1528

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PRO167 (FL)

Other Prosthetist providers in Illinois →

Registry record

NPI: 1033719208
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2020
Record last updated: 27 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.