Individual
MELISSA SANTORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1826 N CRYSTAL LAKE DR, LAKELAND, FL 33801-5905
(813) 876-8771
Mailing address
2726 WILDER RESERVE DR, PLANT CITY, FL 33566-7574
(813) 516-6446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25392
FL
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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