| NPI | 1154124857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA FREEMAN-PANCOAST Owner/Physical Therapist 850-974-3297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2026-01-14 |