Individual
MADISON LUCILLE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14 W CHURCH ST, SELBYVILLE, DE 19975-9402
(302) 524-2097
Mailing address
PO BOX 392573, PITTSBURGH, PA 15251-9573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29446
MD
225100000X
Physical Therapist
Primary
CP031747T
DE
225100000X
Physical Therapist
CP034870T
SC
Other
Enumeration date
06/06/2023
Last updated
10/08/2024
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