MEDICARE: LENSY DENISE HARDY PT

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
1	225100000X	Physical Therapist	PT36199	FL

General Provider Information

NPI Number	:	1598487415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENSY DENISE HARDY PT

Provider Business Mailing Address
First Line	:	610 E ZACK ST STE 110-3005
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3972
Country	:	US
Telephone Number	:	727-807-9713
Fax Number	:	727-933-0983

Provider Business Practice Location Address
First Line	:	610 E ZACK ST STE 110-3005
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3972
Country	:	US
Telephone Number	:	727-807-9713
Fax Number	:	727-933-0983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2022
Last Update Date	:	09/16/2022

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