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Organization
PRO VITA PHYSICAL THERAPY LLC
Active
Organization
PRO VITA PHYSICAL THERAPY LLC
Active
Parent organization
PRO VITA PHYSICAL THERAPY LLC
Other names
Pro Vita Physical Therapy - Pensacola
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRO VITA PHYSICAL THERAPY LLC
Authorized official
MRS. CARLA J BULLA PT, DPT (PRESIDENT)
(850) 331-3017
Entity
Organization
Contact information
Practice address
4700 BAYOU BLVD STE 1C, PENSACOLA, FL 32503-2670
(850) 331-3017
(855) 595-2306
Mailing address
638 N FERDON BLVD STE 1, CRESTVIEW, FL 32536-2170
(850) 331-3017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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