Individual
HANNAH ELIZABETH FULLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9889 GATE PKWY N STE 305, JACKSONVILLE, FL 32246-9230
(904) 513-3954
Mailing address
9889 GATE PKWY N STE 305, JACKSONVILLE, FL 32246-9230
(904) 513-3954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31740
FL
Other
Enumeration date
04/01/2022
Last updated
12/20/2022
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