Johanna Caroline Provencher, DPT

NPI #1508481938 in Gulf Breeze, Florida

Provider Information

NPI Number
1508481938
Entity Type
Individual
Name
Johanna Caroline Provencher, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Jun 11, 2020
Last Updated
Jan 11, 2024

Practice Location

Address
1040 GULF BREEZE PKWY STE 200
State
Florida
ZIP Code
32561-7808
Phone
(850) 916-3700

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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