Individual
JAKOB DYLAN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 LITTON LANE, BLACKSBURG, VA 24060
(540) 552-9176
Mailing address
400 FAIRFAX RD APT C20, BLACKSBURG, VA 24060-6538
(304) 860-0139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606605
VA
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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