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Individual

MS. BETHANY ELYCE HAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3820 NORTHDALE BLVD, SUITE 101A, TAMPA, FL 33624-1863
(813) 264-7734
(813) 264-7737
Mailing address
3820 NORTHDALE BLVD, SUITE 101A, TAMPA, FL 33624-1863
(813) 264-7734
(813) 264-7737

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20467
FL

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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