Individual
MICHELE ANN WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 BEALE ST, TITUSVILLE, FL 32796-1941
(321) 427-2306
Mailing address
2930 BEALE ST, TITUSVILLE, FL 32796-1941
(321) 427-2306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2057
FL
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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