Individual
GALE MARIE PHILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3804 E HANNA AVE, TAMPA, FL 33610-3759
(813) 495-4997
(866) 214-4347
Mailing address
3804 E HANNA AVE, TAMPA, FL 33610-3759
(813) 495-4997
(866) 214-4347
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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