Individual provider · Type 1 NPI

Staci Gullman, PTA

Physical Therapy Assistant · Jacksonville, FL

NPI number 1659517951 Active

Practice location

8087 Normandy Blvd
Jacksonville, FL 32221-6646

Call (904) 781-5666 Map

Fax (904) 781-8191

Mailing address

144 Nottingham Dr E
St. Johns, FL 32259-7904

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA21464 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1659517951

Staci Gullman, PTA's National Provider Identifier is 1659517951, issued on Dec 17, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 17, 2008.