Individual
HILLARY BLAKE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6515
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1723
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000261875
HMSA BILLING NUMBER
HI
05
—
58886601
—
HI
Enumeration date
05/23/2006
Last updated
03/17/2021
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