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NPI Code Detail

MEDICARE: JULIE VANHUSAN LPTA

MEDICARE:   JULIE  VANHUSAN  LPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA001926FL

General Provider Information

NPI Number : 1639435753
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE VANHUSAN LPTA
Provider Business Mailing Address
First Line : 195 MATTIE KELLY BLVD
Second Line :
City : DESTIN
State : FL
Zip : 32541-2811
Country : US
Telephone Number : 850-654-7474
Fax Number :
Provider Business Practice Location Address
First Line : 195 MATTIE KELLY BLVD
Second Line :
City : DESTIN
State : FL
Zip : 32541-2811
Country : US
Telephone Number : 850-654-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2012
Last Update Date : 04/03/2012

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Directions to “ JULIE VANHUSAN LPTA” Practice Location

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