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EMILY FOLSOM DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114342409

Individual Registrant:
 EMILY  FOLSOM DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
405 11TH ST SW  LIVE OAK, FL 32064-3161 US
Tel: 386-364-5051  Fax: --

Contact information for business:
405 11TH ST SW  LIVE OAK, FL 32064-3161 US
Tel: 386-364-5051  Fax: --

Registration Information:
NPI: 1114342409
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT 26260

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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