Individual
MELISSA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 W STATE ROAD 434, LONGWOOD, FL 32779-4878
(321) 972-8326
Mailing address
3973 LONE EAGLE PL, SANFORD, FL 32771-5807
(386) 848-2348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24051
FL
Other
Enumeration date
09/17/2019
Last updated
04/16/2025
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