Individual
DEBRA B MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1220 PROSPECT AVE, SUITE 292, MELBOURNE, FL 32901-7396
(321) 952-2110
Mailing address
1220 PROSPECT AVE, SUITE 292, MELBOURNE, FL 32901-7396
(321) 952-2110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA17988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA17988
LICENSE
FL
Enumeration date
11/16/2006
Last updated
07/08/2007
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