| NPI | 1710154828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MOLTIMORE Owner/Physical Therapist 850-576-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19375) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-08-12 |