| NPI | 1063185684 |
|---|---|
| Doing Business As | PRO VITA PHYSICAL THERAPY - NAVARRE |
| Entity Type | Organization |
| Authorized Contact | CARLA J BULLA Owner 850-902-7315 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-08-29 |