Healthcare Provider Details

I. General information

NPI: 1225968365
Provider Name (Legal Business Name): JULIE HARDIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6552 HARBOUR BLVD
PANAMA CITY BEACH FL
32407-5586
US

IV. Provider business mailing address

6552 HARBOUR BLVD
PANAMA CITY BEACH FL
32407-5586
US

V. Phone/Fax

Practice location:
  • Phone: 850-630-0056
  • Fax:
Mailing address:
  • Phone: 850-630-0056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT25612
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: