Individual
TAMARA NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N WICKHAM RD STE 103, MELBOURNE, FL 32935-8628
(321) 327-8509
Mailing address
405 N. WICKHAM RD SUITE 103, MELBOURNE, FL 32935-8628
(321) 327-8509
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT16922
FL
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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