Individual
DANIEL REDLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1990 W NEW HAVEN AVE STE 105, MELBOURNE, FL 32904-3908
(321) 768-6119
Mailing address
1990 W NEW HAVEN AVE STE 105, MELBOURNE, FL 32904-3908
(321) 768-6119
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30601
FL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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