Individual
MR. MELVIN NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1640 W REDSTONE CENTER DRIVE, SUITE 200, PARK CITY, UT 84098
(888) 800-8744
Mailing address
PO BOX 804, EDGEWATER, FL 32132-0804
(386) 424-1686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2058089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17729
PTA
FL
01
—
2058089
PTA
TX
Enumeration date
06/29/2007
Last updated
07/08/2007
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