MICHELLE VANN

PORT ORANGE, FL
NPI1114301033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTAT25762)
Enumeration Date2015-07-10
Last Update Date2015-07-10
Business Address
Mrs. MICHELLE VANN PTA
1525 HERBERT ST
PORT ORANGE, FL 32129-6106
Phone number: 386-756-0424
Mailing Address
Mrs. MICHELLE VANN PTA
365 BENT OAK DR
PORT ORANGE, FL 32127-5979
Phone number: 386-299-9078
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