MRS. Michelle Renee Newman, PTA

NPI #1063716926 in South Daytona, Florida

Provider Information

NPI Number: 1063716926
Entity Type: Individual
Name: MRS. Michelle Renee Newman, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: Jan 6, 2011
Last Updated: Jan 6, 2011

Practice Location

Address: 1703 MAGNOLIA AVE LOT F6
City: South Daytona
State: Florida
ZIP Code: 32119-1725
Phone: (386) 756-0305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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