Individual
MRS. ADRIENNE LEE DAISERNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
120 N RICHARD JACKSON BLVD, SUITE 30, PANAMA CITY BEACH, FL 32407-2521
(850) 235-6360
(850) 235-8871
Mailing address
11605 SAND CASTLE LN, PANAMA CITY BEACH, FL 32407-4547
(850) 532-9051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18733
FL
Other
Enumeration date
10/03/2006
Last updated
12/02/2014
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