Healthcare Provider Details

I. General information

NPI: 1033437637
Provider Name (Legal Business Name): LAURA HARHART P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7890 PETERS RD G-109
PLANTATION FL
33324-4028
US

IV. Provider business mailing address

11270 PINES BLVD G-109
PEMBROKE PINES FL
33026-4101
US

V. Phone/Fax

Practice location:
  • Phone: 954-577-7772
  • Fax: 954-577-7992
Mailing address:
  • Phone: 954-441-7246
  • Fax: 954-441-7241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number23610
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: