Hannah Souksavong, PT, DPT

NPI #1194506626 in Green Cove Springs, Florida

Provider Information

NPI Number: 1194506626
Entity Type: Individual
Name: Hannah Souksavong, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Oct 10, 2023
Last Updated: Oct 10, 2023

Practice Location

Address: 1305 N ORANGE AVE STE 118
City: Green Cove Springs
State: Florida
ZIP Code: 32043-2553
Phone: (904) 531-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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