| NPI | 1093517716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE ROBBINS Office Manager 850-682-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-04-15 |