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Individual

MS. MARCY LEE THERBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2316 FISKE BLVD, ROCKLEDGE, FL 32955-3427
(321) 632-0081
Mailing address
6200 GRISSOM PKWY, COCOA, FL 32927-9128
(321) 433-5985

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA18984
FL

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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