| NPI | 1477563138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE L. SCOPER Owner/Director 850-862-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: FL PT17648) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |