Individual
MELISSA ANN MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1445 HOWELL AVE, BROOKSVILLE, FL 34601-1502
(352) 799-1451
Mailing address
4280 BISCAYNE DR, HERNANDO BEACH, FL 34607-3003
(352) 442-8358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26728
FL
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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