Individual
COURTNEY TAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1155 MALABAR ROAD, SUITE 1, PALM BAY, FL 32905
(321) 409-5777
Mailing address
1155 MALABAR RD NE STE 1, PALM BAY, FL 32907-3262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24920
FL
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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