Provider Demographics
NPI:1033437637
Name:HARHART, LAURA (PT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:HARHART
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11270 PINES BLVD
Mailing Address - Street 2:G-109
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4101
Mailing Address - Country:US
Mailing Address - Phone:954-441-7246
Mailing Address - Fax:954-441-7241
Practice Address - Street 1:7890 PETERS RD
Practice Address - Street 2:G-109
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4028
Practice Address - Country:US
Practice Address - Phone:954-577-7772
Practice Address - Fax:954-577-7992
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23610261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy