Individual
MELINDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5481 SW 60TH ST, SUITE 102, OCALA, FL 34474-7698
(352) 873-1122
(352) 873-6841
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
(352) 382-1146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22529
FL
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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