| NPI | 1629666227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL E HOLDERNESS Director And Physical Therapist 850-294-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |