Individual
KANDICE MONIQUE HEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 NE VILLA NUEVA AVE, PALM BAY, FL 32907
(321) 952-1818
Mailing address
503 CHURCHILL DR, COCOA, FL 32922-7321
(321) 684-8328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24849
FL
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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