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
- City
- Gulf Breeze
- State
- Florida
- ZIP Code
- 32561-7808
- Phone
- (850) 916-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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| DR. Benjamin James Lockhart, DPT |
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