Individual
MICHELLE WEYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202
Mailing address
228 CANAVERAL BEACH BLVD, CAPE CANAVERAL, FL 32920-2616
(727) 808-9615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26527
FL
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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