Individual
MELISSA COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 SE 16TH AVE, OCALA, FL 34471-4656
(352) 620-1900
Mailing address
4500 W NEWBERRY RD, GAINESVILLE, FL 32607-2245
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27373
FL
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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