NPI | 1861110660 |
---|---|
Doing Business As | WIRED PHYSIOTHERAPY AND WELLNESS |
Entity Type | Organization |
Authorized Contact | JACQUELINE ROELOFS Owner, Physical Therapist 850-324-5094 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2022-08-17 |
Last Update Date | 2022-08-17 |