| Melisa T Crosby, Pt P.a. | |
|
885 State Road 20, Interlachen, FL 32148-2430 | |
| (386) 684-9110 | |
| (386) 684-9255 |
| Full Name | Melisa T Crosby, Pt P.a. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 885 State Road 20, Interlachen, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104937150 | NPI | - | NPPES |
| 891806600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 8102 (Florida) | Primary |
| Provider Name | Melisa T Crosby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104937135 PECOS PAC ID: 2365412434 Enrollment ID: I20101210000148 |
| Provider Name | Lynne A Ryden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396751517 PECOS PAC ID: 8527069392 Enrollment ID: I20220718001378 |
| Mailing Address | Practice Location Address |
|---|---|
| Melisa T Crosby, Pt P.a. 885 State Road 20, Interlachen, FL 32148-2430 Ph: (386) 684-9110 | Melisa T Crosby, Pt P.a. 885 State Road 20, Interlachen, FL 32148-2430 Ph: (386) 684-9110 |
Melisa T Crosby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505a Atlantic Ave, Interlachen, FL 32148 Phone: 386-684-9110 Fax: 386-684-9255 | |
Michael Joseph Hall, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505a Atlantic Ave, Interlachen, FL 32148 Phone: 386-684-9110 Fax: 386-684-9255 |