Individual
MELISSA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4364 DIAMOND RD, WINTER HAVEN, FL 33880-1502
(863) 206-8699
Mailing address
4364 DIAMOND RD, WINTER HAVEN, FL 33880-1502
(863) 206-8699
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PTA 27135
FL
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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