Individual
MARISSA DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 PASS RD STE F, BILOXI, MS 39531-2112
(228) 388-1002
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6160
MS
Other
Enumeration date
12/11/2018
Last updated
12/12/2018
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