Individual
KASSANDRA MELGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10908 N 14TH ST, TAMPA, FL 33612-5922
(352) 651-1573
Mailing address
10908 N 14TH ST, TAMPA, FL 33612-5922
(352) 651-1573
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/31/2023
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