Individual
MARY SANTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
115 NE 6TH TERRACE, SUITE 205, GAINESVILLE, FL 32601
(352) 378-3098
Mailing address
115 NE 6TH TERRACE, SUITE 205, GAINESVILLE, FL 32601
(352) 378-3098
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA12862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6137
BCBS OF FLORIDA
FL
Enumeration date
03/13/2014
Last updated
03/13/2014
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