Individual
MRS. MELISSA ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 688-0070
Mailing address
1201 13TH ST, ORANGE CITY, FL 32763-3211
(386) 960-6362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20431
FL
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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