Individual
MS. PAMELA ANN MULLENBRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 ANDOVER CIRCLE, PALM HARBOR, FL 34683
(727) 480-1388
Mailing address
2208 ANDOVER CIR, PALM HARBOR, FL 34683-1581
(727) 480-1388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21866
FL
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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