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Individual

ELLEN DAVIS HULSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Contact information

Practice address
11930 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 671-1022
Mailing address
916 S ROME AVE APT 3, TAMPA, FL 33606-3049
(301) 873-0914

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
37121
FL
225100000X
Physical Therapist
Primary
PT37121
FL
2255A2300X
Athletic Trainer

Other

Enumeration date
04/17/2015
Last updated
04/03/2025
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