Pro Vita Physical Therapy LLC

NPI #1245945807 in Milton, Florida

Provider Information

NPI Number: 1245945807
Entity Type: Organization
Organization Name: Pro Vita Physical Therapy LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PRO VITA PHYSICAL THERAPY LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 18, 2023
Last Updated: Jan 18, 2023

Practice Location

Address: 5941 BERRYHILL RD STE I
City: Milton
State: Florida
ZIP Code: 32570-4043
Phone: (850) 331-3017

Authorized Official

Name: MRS. CARLA J BULLA
Title: OWNER
Phone: (850) 331-3017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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