Individual
MRS. ANTONIA (TANJA) MARTINA MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
4450 W EAU GALLIE BLVD STE 108, MELBOURNE, FL 32934-7276
(321) 255-6627
Mailing address
888 NORDEN ST NW, PALM BAY, FL 32907-8242
(321) 724-2945
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 0010055
FL
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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