Healthcare Provider Details

I. General information

NPI: 1336285501
Provider Name (Legal Business Name): MRS. ANNA KUHLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 05/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 FLORIDA BLVD
NEPTUNE BEACH FL
32266-3605
US

IV. Provider business mailing address

625 FLORIDA BLVD
NEPTUNE BEACH FL
32266-3605
US

V. Phone/Fax

Practice location:
  • Phone: 904-463-3949
  • Fax: 904-242-7961
Mailing address:
  • Phone: 904-463-3949
  • Fax: 904-242-7961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT3296
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: