Provider Demographics
NPI:1598487415
Name:HARDY, LENSY DENISE (PT)
Entity Type:Individual
Prefix:
First Name:LENSY
Middle Name:DENISE
Last Name:HARDY
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 1:610 E ZACK ST STE 110-3005
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3972
Mailing Address - Country:US
Mailing Address - Phone:727-807-9713
Mailing Address - Fax:727-933-0983
Practice Address - Street 1:610 E ZACK ST STE 110-3005
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-3972
Practice Address - Country:US
Practice Address - Phone:727-807-9713
Practice Address - Fax:727-933-0983
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36199225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist