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Individual

CASEY HAMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(800) 330-7711
Mailing address
348 ELK RIDGE DR, ELK RIDGE, UT 84651-4636

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
123946
AK

Other

Enumeration date
10/05/2018
Last updated
10/05/2018
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