Individual
MELISSA BENEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 NETTLE CREEK CT, PORT ORANGE, FL 32127-4908
(386) 795-6399
Mailing address
4514 NETTLE CREEK CT, PORT ORANGE, FL 32127-4908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12863
FL
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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