| NPI | 1245920271 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JUSTIN ANTHONY WILHOIT Owner/Doctor Of Physical Therapy 850-706-0341  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Enumeration Date | 2023-05-12 | 
| Last Update Date | 2023-05-12 |