Provider Demographics
NPI:1134490170
Name:HARDY, EDWARD DONALD (PHYSICAL THERAPY)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:DONALD
Last Name:HARDY
Suffix:
Gender:M
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:201 N PITTSBURGH ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-3233
Mailing Address - Country:US
Mailing Address - Phone:724-628-0719
Mailing Address - Fax:724-603-2472
Practice Address - Street 1:201 N PITTSBURGH ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3233
Practice Address - Country:US
Practice Address - Phone:724-628-0719
Practice Address - Fax:724-603-2472
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010573L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist