Individual
ALYSSIA RAE FERONTI MAZZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
220 S COURTENAY PKWY STE B, MERRITT ISLAND, FL 32952-4893
(321) 434-5820
(321) 434-9125
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-5820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT609
MEDICARE
FL
Enumeration date
01/04/2022
Last updated
11/21/2023
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