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MRS. MELISSA ANN ANDERSON PTA

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

Registrant NPI Number: 1588890628

Individual Registrant:
MRS. MELISSA ANN ANDERSON PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1200 LEXINGTON GREEN LN  SANFORD, FL 32771-1013 US
Tel: 407-688-0070  Fax: --

Contact information for business:
1201 13TH ST  ORANGE CITY, FL 32763-3211 US
Tel: 386-960-6362  Fax: --

Registration Information:
NPI: 1588890628
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA 20431

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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