Individual
ROXANNE NICOLE BULTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
235 W AIRPORT BLVD, PENSACOLA, FL 32505-2239
(850) 857-5200
Mailing address
8805 MARSH ELDER DR, PENSACOLA, FL 32526-3252
(850) 516-9955
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22805
FL
Other
Enumeration date
05/15/2019
Last updated
06/11/2019
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