Individual
RICKY MELENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15204 W COLONIAL DR, WINTER GARDEN, FL 34787-6042
(407) 877-2394
Mailing address
2420 SHEFFIELD AVE, ORLANDO, FL 32806-6502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21829
FL
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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