Basic Information
Provider Information
NPI: 1306476429
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARDING
FirstName: MOLLY
MiddleName: MAUREEN
NamePrefix:  
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8205 PRESIDENTS DR
Address2:  
City: HUMMELSTOWN
State: PA
PostalCode: 170368621
CountryCode: US
TelephoneNumber: 7178392159
FaxNumber: 7175651104
Practice Location
Address1: 620 W MACPHAIL RD STE 105
Address2:  
City: BEL AIR
State: MD
PostalCode: 210144474
CountryCode: US
TelephoneNumber: 4102739776
FaxNumber: 4102739777
Other Information
ProviderEnumerationDate: 01/16/2020
LastUpdateDate: 07/16/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/16/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X27831MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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