# LA SALETTE HEALTH AND FITNESS INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386834638
- **Authorized official:** MS. MARIANNE S CANO M.S.P.T. (PHYSICAL THERAPIST)
- **Authorized official phone:** (321) 525-5453

## Contact information

- **Practice address:** 105 S RIVERSIDE DR, STE \# 150, INDIALANTIC, FL 32903-4365
- **Practice address phone:** (321) 525-5453
- **Practice address fax:** (866) 810-9307
- **Mailing address:** PO BOX 33265, INDIALANTIC, FL 32903-0265
- **Mailing address phone:** (321) 525-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | PT-11017 | FL | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 06/28/2012
