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Individual

DR. SAMANTHA LARSON ANELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3316 3RD ST S, SUITE 104, JACKSONVILLE BEACH, FL 32250-6073
(904) 685-8109
(904) 249-0907
Mailing address
1763 SUNSET DR, JACKSONVILLE BEACH, FL 32250-2983
(904) 859-2978

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT27903
FL

Other

Enumeration date
06/24/2013
Last updated
06/24/2013
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