Organization
PRO VITA PHYSICAL THERAPY - FLORALA
Active
Parent organization
PRO VITA PHYSICAL THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRO VITA PHYSICAL THERAPY LLC
Authorized official
CARLA J BULLA (CEO)
(850) 331-3017
Entity
Organization
Contact information
Practice address
804 ELM ST, FLORALA, AL 36442-3560
(850) 331-3017
(855) 275-6191
Mailing address
638 N FERDON BLVD STE 1, CRESTVIEW, FL 32536-2170
(850) 331-3017
(855) 275-2575
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
02/17/2025
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