Dr. Samantha Larson Anello, DPT
Physical Therapist, Orthopedic in Jacksonville Beach, FL. Individual provider (NPI-1).
NPI number1043659063
StatusActive
Last updated in NPPESJun 24, 2013
Details
- NPI
- 1043659063
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samantha Larson Anello
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2013
- Last updated
- Jun 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | PT27903 | FL | Yes |
Practice location
3316 3rd St SSuite 104
Jacksonville Beach, FL 32250-6073
Phone 904-685-8109 · Fax 904-249-0907
Mailing address
1763 Sunset DrJacksonville Beach, FL 32250-2983
Phone 904-859-2978
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