Individual
MISS HEATHER LYNN-Z FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3260 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6203
(570) 267-4048
Mailing address
3260 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6203
(570) 267-4048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA25699
FLORIDA STATE BOARD
FL
Enumeration date
06/14/2012
Last updated
09/24/2015
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