Individual
AVERY D HORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8101 SOUTHSIDE BLVD, JACKSONVILLE, FL 32256-8067
(904) 928-1133
Mailing address
204 OLEANDER ST, NEPTUNE BEACH, FL 32266-4850
(804) 335-8824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008570
CT
225100000X
Physical Therapist
2305207540
VA
225100000X
Physical Therapist
Primary
28140
FL
Other
Enumeration date
07/01/2009
Last updated
05/22/2013
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