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MRS. MELANIE FAGAN PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1831568112

Individual Registrant:
MRS. MELANIE  FAGAN PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8712 ABBOTSBURY DR  WINDERMERE, FL 34786-6708 US
Tel: 423-987-1172  Fax: --

Contact information for business:
8712 ABBOTSBURY DR  WINDERMERE, FL 34786-6708 US
Tel: 423-987-1172  Fax: --

Registration Information:
NPI: 1831568112
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FL26091

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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