Pro Vita Physical Therapy LLC

NPI #1881404796 in Pensacola, Florida

Provider Information

NPI Number
1881404796
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 13, 2025
Last Updated
Jan 13, 2025

Practice Location

Address
4700 BAYOU BLVD STE 1C
State
Florida
ZIP Code
32503-2670
Phone
(850) 331-3017

Authorized Official

Name
MRS. CARLA J BULLA, PT, DPT
Title
PRESIDENT
Phone
(850) 331-3017

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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