National Provider Identifier

Jordan Elizabeth Hardie, PT, DPT

Jordan Elizabeth Hardie, PT, DPT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Buffalo, NY and a listed phone number of (716) 816-4080.

NPI 1255054979Buffalo, NYPediatric Physical Therapist

Profile Overview

NPI
1255054979
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
September 20, 2022
Last Updated
September 20, 2022

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 816-4080

Mailing Address

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1255054979
Entity Type
Individual
Last Name
Hardie
First Name
Jordan
Middle Name
Elizabeth
Credential
PT, DPT
Mailing Street Address
3767 Delaware Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1040
Mailing Country
US
Mailing Phone
(716) 874-6175
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 816-4080
Enumeration Date
September 20, 2022
Last Updated
September 20, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 20, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)