Individual
MARK ANDREW WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
3040 N WICKHAM RD STE 7, MELBOURNE, FL 32935-2369
(321) 255-9546
Mailing address
115 HILLCREST DR, COCOA, FL 32922-7524
(321) 213-6647
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10643
FL
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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