Individual
MARK JOSEPH HARDISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19927
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014156
JOHNS HOPKINS
—
01
—
3316661000
AMERIHEALTH IBC
—
01
—
5070-0057
CARE FIRST
—
01
—
88760514
CARE FIRST
—
Enumeration date
08/15/2006
Last updated
08/21/2008
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