Individual
MELANIE D RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 COLONIAL BLVD, FORT MYERS, FL 33966-1017
(239) 931-5710
Mailing address
9135 CYPRESS DR S, FORT MYERS, FL 33967-3232
(239) 267-0766
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT28496
FL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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