Individual
MELYSSA R DEVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1950 BLUEWATER BLVD, SUITE 101, NICEVILLE, FL 32578-3887
(850) 897-3334
(850) 897-7855
Mailing address
1950 BLUEWATER BLVD, SUITE 101, NICEVILLE, FL 32578-3887
(850) 897-3334
(850) 897-7855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA13120
FL
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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