MR. Reagan Mandiade Melad, PT

NPI #1023366473 in Sunrise, Florida

Provider Information

NPI Number: 1023366473
Entity Type: Individual
Name: MR. Reagan Mandiade Melad, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 15, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 1580 SAWGRASS CORPORATE PKWY
Address 2: SUITE 100
City: Sunrise
State: Florida
ZIP Code: 33323-2859
Phone: (954) 332-4445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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