Organization
MARIANNA PHYSICAL & AQUATIC THERAPY LLC
Active
Organization
MARIANNA PHYSICAL & AQUATIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KALIEGH PAYNE LAUREL (OWNER)
(850) 596-0218
Entity
Organization
Contact information
Practice address
4285 LAFAYETTE ST, MARIANNA, FL 32446-2919
(850) 482-0080
(866) 630-5149
Mailing address
4285 LAFAYETTE ST, MARIANNA, FL 32446-2919
(850) 596-0218
(866) 630-5149
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
09/10/2021
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