MARISSA ANN MINICH

MELBOURNE, FL
NPI1124367024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  21904)
Enumeration Date2013-02-12
Last Update Date2013-02-12
Business Address
-- MARISSA ANN MINICH PTA
3033 SARNO RD
MELBOURNE, FL 32934-7229
Phone number: 321-255-9200
Mailing Address
-- MARISSA ANN MINICH PTA
3033 SARNO RD
MELBOURNE, FL 32934-7229
Phone number: