Individual
MR. MICHAEL WAYNE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 W GORE ST, SUITE 301, ORLANDO, FL 32806-1044
(407) 254-2558
Mailing address
117 ALTA VISTA ST, HOT SPRINGS, AR 71913-6910
(501) 515-1119
(979) 241-6841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1356
MT
225200000X
Physical Therapy Assistant
2061599
TX
225200000X
Physical Therapy Assistant
2111
AR
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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