Individual
PAMELA PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1698 W HIBISCUS BLVD, SUITE A, MELBOURNE, FL 32901-2639
(321) 768-6119
(321) 768-1710
Mailing address
1698 W HIBISCUS BLVD, SUITE A, MELBOURNE, FL 32901-2639
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18894
FL
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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