Individual
MRS. MELANIE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8712 ABBOTSBURY DR, WINDERMERE, FL 34786-6708
(423) 987-1172
Mailing address
8712 ABBOTSBURY DR, WINDERMERE, FL 34786-6708
(423) 987-1172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26091
FL
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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