Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Domonique L Hardman, PTA

Individual provider Physical Therapy Assistant · NPI 1205302395

Mr. Domonique L Hardman, PTA is a Physical Therapy Assistant in Lake City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2076 SW Fallon Ln
Lake City, FL 32025-1314
Phone: (386) 344-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA28905 (FL)

Record details

NPI number1205302395
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 16, 2018
Last updated in NPPESOctober 16, 2018

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