Individual
MELISSA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
50 PLAZA DR STE 104, PALM COAST, FL 32137-8549
(386) 447-5447
Mailing address
13444 GRAN BAY PKWY APT 539, JACKSONVILLE, FL 32258-7422
(904) 233-4041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28416
FL
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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