| NPI | 1427429604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRILYN GAVIN Owner/Physical Therapist 850-529-3496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |