Individual
MICHELLE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1310 37TH ST, VERO BEACH, FL 32960-4860
(772) 257-5502
Mailing address
9959 E VERONA CIR, VERO BEACH, FL 32966-3125
(772) 342-0442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22234
FL
Other
Enumeration date
02/14/2011
Last updated
09/10/2014
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