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1124367024
MARISSA ANN MINICH
MELBOURNE, FL
NPI
1124367024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 21904)
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
-- MARISSA ANN MINICH PTA
3033 SARNO RD
MELBOURNE, FL 32934-7229
Phone number: 321-255-9200
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Mailing Address
-- MARISSA ANN MINICH PTA
3033 SARNO RD
MELBOURNE, FL 32934-7229
Phone number:
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