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 | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2017-08-17 |
Last Update Date | 2021-10-28 |