Pro Vita Physical Therapy LLC

NPI #1841944535 in Shalimar, Florida

Provider Information

NPI Number: 1841944535
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: Feb 10, 2022
Last Updated: Feb 17, 2025

Practice Location

Address: 4 9TH AVE BLDG C
City: Shalimar
State: Florida
ZIP Code: 32579-1746
Phone: (850) 331-3017

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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