Individual
MR. LOUIS JOHN EMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1747 EVANS RD, MELBOURNE, FL 32904-3869
(321) 768-6119
Mailing address
2143 STEWART RD, MELBOURNE, FL 32935-4230
(321) 514-0183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19230
FL
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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