Individual
DR. LANCE MATHEW CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DHSC, MSCPT, MTC
Contact information
Practice address
807 N TYNDALL PKWY, CALLAWAY, FL 32404-9495
(850) 819-1937
Mailing address
120 QUEENS CIR, PANAMA CITY, FL 32405-1910
(850) 747-1198
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
9759
FL
2251X0800X
Orthopedic Physical Therapist
Primary
9759
FL
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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