Provider Demographics
NPI:1306564018
Name:HARSHMAN, MARY (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:HARSHMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-2149
Mailing Address - Country:US
Mailing Address - Phone:302-500-6363
Mailing Address - Fax:
Practice Address - Street 1:2 LEE AVE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2149
Practice Address - Country:US
Practice Address - Phone:302-500-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29086225100000X
DEJ1-0014607225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist