| NPI | 1528344934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN DAVIS Co Owner 850-832-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2022-06-27 |