Individual
MELISSA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
735 SUGAR BAY WAY, APT 202, LAKE MARY, FL 32746
(407) 791-2334
Mailing address
735 SUGAR BAY WAY, APT 202, LAKE MARY, FL 32746
(407) 791-2334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27089
FL
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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