| NPI | 1578135984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA CARTER Doctor Of Physical Therapy 850-499-0319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |