Staley, Marie

Staley, Marie is an individual health care provider with primary practice located at 4047 13Th St , Saint Cloud FL 34769. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Staley, Marie can be contacted via phone (407) 957-0370.

Contact Information

Primary practice address
4047 13Th St Saint Cloud FL 34769
Fax:
Website:

Health care specialties

Profile Details

NPI number 1205946860
LBN Legal business name Staley, Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 5th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205946860 NPPES
Connecticut Other 007725 LICENSE #
Connecticut Other PT34506 LICENSE #

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