Individual
AMIRA BEN DRIF TOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6431 LAKE ANDREW DR UNIT 103, MELBOURNE, FL 32940-7250
(321) 473-6773
(321) 473-3002
Mailing address
6431 LAKE ANDREW DR UNIT 103, MELBOURNE, FL 32940-7250
(321) 473-6773
(321) 473-3002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32537
FL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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