| NPI | 1013210871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HEFFERNAN Physical Therapist 850-769-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT7288) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |