NPI 1023674041

Roxanne Nicole Bultron, PTA

Practitioner Physical Therapy Assistant Pensacola, FL

Practice location

Address: 235 W Airport Blvd, Pensacola, FL 32505-2239
Phone: (850) 857-5200
Mailing address: 8805 Marsh Elder Dr, Pensacola, FL 32526-3252

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 22805 (FL)

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Registry record

NPI: 1023674041
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2019
Record last updated: 11 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.