Melzie Jonathan Moore
NPI #1164082418 in Plant City, Florida
Provider Information
- NPI Number
- 1164082418
- Entity Type
- Individual
- Name
- Melzie Jonathan Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jun 18, 2019
- Last Updated
- Jun 18, 2019
Practice Location
- Address
- 701 N WILDER RD
- City
- Plant City
- State
- Florida
- ZIP Code
- 33566-7547
- Phone
- (813) 752-3611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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