Individual
JULIE VANHUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(850) 654-7474
Mailing address
195 MATTIE KELLY BLVD, DESTIN, FL 32541-2811
(850) 654-7474
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001926
FL
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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