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Individual
TYLER EMERSON MELLECKER
Active
Individual
TYLER EMERSON MELLECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27302
FL
261QP2000X
Physical Therapy Clinic/Center
27302
FL
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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