Individual
HEATHER M MOMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 PENN ST STE 12, MELBOURNE, FL 32901-2625
(321) 768-6800
(321) 768-6858
Mailing address
4575 WILLOW BEND DR, MELBOURNE, FL 32935-7135
(321) 768-6800
(321) 768-6858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
FL
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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