Individual
LENA S HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
104 5TH AVE, ATMORE, AL 36502-2617
(251) 321-0799
(251) 321-0798
Mailing address
104 5TH AVE, ATMORE, AL 36502-2617
(251) 321-0799
(251) 321-0798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6465
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
07/30/2012
Last updated
10/03/2018
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