Individual
COURTNEY STANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 610-8979
Mailing address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 610-8979
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26148
FL
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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