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Michelle Vann, PTA

Physical Therapy Assistant in Port Orange, FL. Individual provider (NPI-1).

NPI number1114301033
StatusActive
Last updated in NPPESJul 10, 2015

Details

NPI
1114301033
Entity type
Individual (NPI-1)
Name
Mrs. Michelle Vann
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 10, 2015
Last updated
Jul 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTAT25762FLYes

Practice location

1525 Herbert St
Port Orange, FL 32129-6106

Phone 386-756-0424

Mailing address

365 Bent Oak Dr
Port Orange, FL 32127-5979

Phone 386-299-9078

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