Individual
EMILY FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
405 11TH ST SW, LIVE OAK, FL 32064-3161
(386) 364-5051
Mailing address
405 11TH ST SW, LIVE OAK, FL 32064-3161
(386) 364-5051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 26260
FL
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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