Individual
CLARISSA L MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1050 OLD CAMP RD, THE VILLAGES, FL 32162-1762
(352) 693-3788
(888) 758-9645
Mailing address
1202 SW 17TH ST # 209-229, OCALA, FL 34471-1271
(352) 693-3378
(888) 758-9645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT32408
STATE OF FLORIDA
FL
Enumeration date
08/31/2018
Last updated
05/18/2020
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