MR. Domonique L Hardman, PTA

NPI #1205302395 in Lake City, Florida

Provider Information

NPI Number
1205302395
Entity Type
Individual
Name
MR. Domonique L Hardman, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Oct 16, 2018
Last Updated
Oct 16, 2018

Practice Location

Address
2076 SW FALLON LN
State
Florida
ZIP Code
32025-1314
Phone
(386) 344-9095

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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