Individual
PAUL K GULLIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1275 W GRANADA BLVD, SUITE 6B, ORMOND BEACH, FL 32174-8259
(386) 265-1925
Mailing address
1275 W GRANADA BLVD, SUITE 6B, ORMOND BEACH, FL 32174-8259
(386) 265-1925
(386) 265-1926
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0007672
FL
Other
Enumeration date
08/13/2007
Last updated
01/26/2015
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