Individual provider · Type 1 NPI
Melissa Davis, PTA
Assisted Living Facility · Winter Haven, FL
NPI number
1245761162
Active
Practice location
4364 Diamond Rd
Winter Haven, FL 33880-1502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | PTA 27135 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1245761162
Melissa Davis, PTA's National Provider Identifier is 1245761162, issued on Mar 22, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Winter Haven, FL. The record was last updated on Mar 22, 2017.