Individual
MELISSA PENHOLLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5820 N 19TH ST, TAMPA, FL 33610-4317
(813) 234-3337
Mailing address
5820 N 19TH ST, TAMPA, FL 33610-4317
(813) 234-3337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21724
FL
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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