Provider Demographics
NPI:1326737404
Name:HARDIN, MEGAN COOPER (MPT)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:COOPER
Last Name:HARDIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 VENETIAN WAY
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6932
Mailing Address - Country:US
Mailing Address - Phone:601-927-9441
Mailing Address - Fax:
Practice Address - Street 1:501 UNIVERSITY PARK DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6705
Practice Address - Country:US
Practice Address - Phone:205-379-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11270225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist