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Melzie Jonathan Moore

Physical Therapy Assistant in Plant City, FL. Individual provider (NPI-1).

NPI number1164082418
StatusActive
Last updated in NPPESJun 18, 2019

Details

NPI
1164082418
Entity type
Individual (NPI-1)
Name
Melzie Jonathan Moore
Sex
Male
Sole proprietor
No
Enumeration date
Jun 18, 2019
Last updated
Jun 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant29303FLYes

Practice location

701 N Wilder Rd
Plant City, FL 33566-7547

Phone 813-752-3611

Mailing address

701 N Wilder Rd
Plant City, FL 33566-7547

Phone 813-752-3611

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All 13 Physical Therapy Assistant providers in Plant City · All 1,032 providers in Plant City

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