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NPI Code Detail

MEDICARE: JOSEPHINE V. HARDWICK P.T.

MEDICARE:   JOSEPHINE V. HARDWICK  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305211032VA
2225100000XPhysical TherapistPT002083GA
32251P0200XPediatric Physical Therapist2305211032VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396874244
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPHINE V. HARDWICK P.T.
Provider Business Mailing Address
First Line : 4915 TURNER RIDGE CT
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23059-5925
Country : US
Telephone Number : 404-918-4010
Fax Number :
Provider Business Practice Location Address
First Line : 4915 TURNER RIDGE CT
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23059-5925
Country : US
Telephone Number : 404-918-4010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/21/2022

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Directions to “ JOSEPHINE V. HARDWICK P.T.” Practice Location

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