Souksavong, Hannah

Souksavong, Hannah is an individual health care provider with primary practice located at 1305 N Orange Ave Ste 118 , Green Cove Springs FL 32043-2553. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Souksavong, Hannah can be contacted via phone (904) 531-5500.

Contact Information

Primary practice address
1305 N Orange Ave Ste 118 Green Cove Springs FL 32043-2553
Phone: (904) 531-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT39810 Florida

Profile Details

NPI number 1194506626
LBN Legal business name Souksavong, Hannah
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2023
Last updated Oct 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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