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Organization
MARIANNA PHYSICAL THERAPY
Active
Organization
MARIANNA PHYSICAL THERAPY
Active
Parent organization
CHIPLEY PHYSICAL THERAPY, INC
Other names
Marianna Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHIPLEY PHYSICAL THERAPY, INC
Authorized official
MR. RUBEN ALONZO LAUREL (CEO, OWNER)
(850) 638-3387
Entity
Organization
Contact information
Practice address
4285 LAFAYETTE ST, MARIANNA, FL 32446-2919
(850) 482-0080
(850) 482-0082
Mailing address
1567 MAIN ST, CHIPLEY, FL 32428-6948
(850) 638-3387
(850) 415-1967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
05/16/2019
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