Individual
DANIEL DENNIS TARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1060
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048932
ANTHEM
ME
01
—
11317104
CAQH
ME
01
—
1393159
AETNA
ME
05
—
260240000
—
ME
01
—
3662706
CIGNA
ME
01
—
510550598
GREAT WEST
ME
01
—
AA34198
HARVARD PILGRAM
ME
01
—
P00286049
RR MEDICARE
ME
Enumeration date
05/01/2007
Last updated
09/13/2017
Update your record
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