Individual
PAULA JANE HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
350 S RIDGEWOOD AVE, ORMOND BEACH, FL 32174-7028
(386) 586-7900
(386) 589-7900
Mailing address
13 KANNAPOLIS PL, PALM COAST, FL 32164
(386) 586-7900
(386) 589-7900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
200013
FL
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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