| NPI | 1477763969 |
|---|---|
| Doing Business As | SEASIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TERRY J MILLETTE Owner 228-762-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-08-14 |