Individual
KENNETH HALPERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85402 TRINITY CIR, YULEE, FL 32097-9025
(904) 662-1843
Mailing address
85402 TRINITY CIR, YULEE, FL 32097-9025
(904) 662-1843
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8562
FL
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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