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Individual

DIANA HENSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
701 MARKET ST UNIT 302, ST AUGUSTINE, FL 32095-8804
(904) 698-9227
Mailing address
701 MARKET ST UNIT 302, ST AUGUSTINE, FL 32095-8804

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29413
FL

Other

Enumeration date
04/01/2022
Last updated
04/01/2022
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