Individual
MRS. ELENITA MASAMONG MULLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13831 SILVER LAKE CT, FORT MYERS, FL 33912-5676
(239) 561-4637
Mailing address
13831 SILVER LAKE CT, FORT MYERS, FL 33912-5676
(239) 561-4637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7010
FL
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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