Individual
CHELSEA MALANDRUCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 EAGLE DR, CRESTVIEW, FL 32536-5430
(904) 210-2602
Mailing address
114 EAGLE DR, CRESTVIEW, FL 32536-5430
(904) 210-2602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28004
FL
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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