Individual
MELICENT BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6581 ROMA WAY, NAPLES, FL 34113-1720
(419) 902-3686
Mailing address
6581 ROMA WAY, NAPLES, FL 34113-1720
(419) 902-3686
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
006809
KY
2251G0304X
Geriatric Physical Therapist
Primary
35532
FL
2251G0304X
Geriatric Physical Therapist
PT.005821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT005821
STATE LICENS NUMBER
OH
Enumeration date
04/20/2015
Last updated
01/29/2021
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