Individual
MELISSA GOVERNALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2478 RIVER TREE CIR, SANFORD, FL 32771-8333
(407) 383-6410
Mailing address
2478 RIVER TREE CIRCLE, SANFORD, FL 32771-8333
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OTA 11515
FL
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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