Gina Maria Hartigan
Physical Therapy Assistant in Ideal, GA. Individual provider (NPI-1).
NPI number1164098455
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1164098455
- Entity type
- Individual (NPI-1)
- Name
- Gina Maria Hartigan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2021
- Certification date
- Sep 11, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA004980 | GA | Yes |
| 225200000X | Physical Therapy Assistant | PTA25874 | FL |
Practice location
201 Poplar StIdeal, GA 31041-6264
Phone 478-949-2270
Mailing address
2212 Blue Lake DrPensacola, FL 32506-6068
Phone 850-418-2588
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