Individual ProviderJoan HardingPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address123 W Buckeye St, Clyde, OH 43410-1933(419) 547-6651(419) 866-5196PECOS EnrollmentBased on the most recent information from CMS, provider Joan Harding does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1841414018Provider TypeIndividualFull NameHarding, JoanCredentialPTGenderFemaleSole ProprietorNoEnumeration Date4/12/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address123 W Buckeye St, Clyde, OH 43410-1933Phone(419) 547-6651Fax(419) 547-6681Mailing LocationMailing Address1560 Henthorne Dr, Maumee, OH 43537-1371Phone(419) 866-5196Fax(419) 866-5663Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT003936OhioProvider IdentifiersIDDescriptionIssuerID1609899061DescriptionOtherIssuerCORP NPI NUMBERID2526654DescriptionMedicaidIssuerUnlistedOhio