| NPI | 1700810900 |
|---|---|
| Doing Business As | PROFORMPT |
| Entity Type | Organization |
| Authorized Contact | EDWARD JOHN DULLMEYER Owner/Physical Therapist 407-671-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-10-06 |