Individual
MELINDA BURDISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 RIOMAR DR, PORT ST LUCIE, FL 34952-1363
(772) 336-8289
Mailing address
400 RIOMAR DR, PORT ST LUCIE, FL 34952-1363
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
17843
FL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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