Individual
MELANIE VUMBACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
4606 S CLYDE MORRIS BLVD, STE.1D, PORT ORANGE, FL 32129-6404
(386) 492-2986
(386) 492-2987
Mailing address
4606 S CLYDE MORRIS BLVD, STE.1D, PORT ORANGE, FL 32129-6404
(386) 492-2986
(386) 492-2987
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25780
FL
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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