Individual
MARK BELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2843 SPYGLASS CV, LONGWOOD, FL 32779-4889
(407) 923-7597
Mailing address
2843 SPYGLASS CV, LONGWOOD, FL 32779-4889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48700
CA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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