Individual
MICHELLE THEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
850 THIRD ST., FORT MYERS BEACH, FL 33931
(239) 464-4419
Mailing address
850 THIRD ST., FORT MYERS BEACH, FL 33931
(239) 464-4419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19880
FL
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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