Individual
MR. GEOFFREY R HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1220 AZALEA RD, MOBILE, AL 36693-2859
(251) 607-6495
(888) 539-6550
Mailing address
1220 AZALEA RD, MOBILE, AL 36693-2859
(251) 607-6495
(888) 539-6550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8860
AL
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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