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Organization

LEGENDARY PHYSICAL THERAPY LLC

Active
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Organization

LEGENDARY PHYSICAL THERAPY LLC

Active
Other names
Legendary Physical Therapy and Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUIE WATKINS III PT, DPT, COMT (PHYSICAL THERAPIST)
(850) 380-4377
Entity
Organization

Contact information

Practice address
410 N PALAFOX ST, PENSACOLA, FL 32501-3919
(850) 332-7681
(850) 512-1188
Mailing address
PO BOX 6568, PENSACOLA, FL 32503-0568
(850) 478-1312
(850) 474-9060

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022219700
FL
01
1568589588
LOUIE WATKINS III NPI NUMBER
FL
Enumeration date
08/17/2017
Last updated
01/24/2025
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