Laney, Annalyssa
Laney, Annalyssa is an individual health care provider with primary practice located at 1655 Se Walton Rd , Port St Lucie FL 34952-7657. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Laney, Annalyssa can be contacted via phone (772) 337-1333.Contact Information
Primary practice address
1655 Se Walton Rd
Port St Lucie FL 34952-7657
Phone: (772) 337-1333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PT36681 | Florida |
Profile Details
| NPI number | 1174279251 |
|---|---|
| LBN Legal business name | Laney, Annalyssa |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2022 |
| Last updated | Feb 27th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174279251 | NPPES |
| Florida | Other | PT36681 | PT LICENSE |
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