Individual
GINA MARIA HARTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 POPLAR ST, IDEAL, GA 31041-6264
(478) 949-2270
Mailing address
2212 BLUE LAKE DR, PENSACOLA, FL 32506-6068
(850) 418-2588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004980
GA
225200000X
Physical Therapy Assistant
PTA25874
FL
Other
Enumeration date
05/27/2021
Last updated
09/11/2023
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