Provider Demographics
NPI:1326825837
Name:HARDIN, ANWAR A
Entity Type:Individual
Prefix:
First Name:ANWAR
Middle Name:A
Last Name:HARDIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36950 RUSSELL DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-0017
Mailing Address - Country:US
Mailing Address - Phone:734-447-6740
Mailing Address - Fax:
Practice Address - Street 1:36950 RUSSELL DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-0017
Practice Address - Country:US
Practice Address - Phone:313-231-7242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist