Individual
MELISSA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
2965 20TH ST, VERO BEACH, FL 32960-3097
(772) 567-8585
Mailing address
2965 20TH ST, VERO BEACH, FL 32960-3097
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
29671
FL
225700000X
Massage Therapist
Primary
73597
FL
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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