| NPI | 1578089983 |
|---|---|
| Doing Business As | LEGENDARY PHYSICAL THERAPY AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | LOUIE WATKINS Physical Therapist 850-380-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2025-01-24 |