Individual
MRS. MARYANNE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8744 STATE ROAD 21, MELROSE, FL 32666-8809
(352) 215-7335
Mailing address
8744 STATE ROAD 21, MELROSE, FL 32666-8809
(352) 215-7335
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA30619
FL
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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