Individual
BRIAN HARDY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3620 57TH AVE STE 400, KENOSHA, WI 53144-4924
(262) 925-5250
Mailing address
600 52ND ST STE 240, KENOSHA, WI 53140-3423
(888) 488-8714
(262) 925-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14316-24
WI
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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