| NPI | 1194278424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEE MELTON Physical Therapist 850-729-3325 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL PT31422) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |