Individual
JONATHAN DAVID HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1315 MILSTEAD RD NE, CONYERS, GA 30012-3824
(470) 545-0860
Mailing address
2100 W IRIS DR SE APT B1104, CONYERS, GA 30013-1912
(256) 496-4955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016761
GA
225100000X
Physical Therapist
PTH10496
AL
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
11/14/2017
Last updated
11/20/2023
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