| NPI | 1093736183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA NELSON Owner/President 850-769-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT5280) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |