| NPI | 1700497237 |
|---|---|
| Former Legal Business Name | PEREGRINE PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | KELLY THOMAS Owner 850-812-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-02-22 |