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Individual

LAURA HUTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1275 W GRANADA BLVD, SUITE 4 B 2, ORMOND BEACH, FL 32174-8259
(386) 615-1112
Mailing address
1275 W GRANADA BLVD, SUITE 4 B 2, ORMOND BEACH, FL 32174-8259
(386) 615-1112

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26691
FL

Other

Enumeration date
05/05/2016
Last updated
01/03/2017
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