Organization
SELECT PHYSICAL THERAPY
Active
Organization
SELECT PHYSICAL THERAPY
Active
Parent organization
1801865118
Organization subpart
Yes
Provider details
NPI number
Legal business name
1801865118
Authorized official
MR. JAMES LEE MELTON (PHYSICAL THERAPIST)
(850) 729-3325
Entity
Organization
Contact information
Practice address
554 TWIN CITIES BLVD STE A, NICEVILLE, FL 32578-1058
(850) 729-3325
Mailing address
554 TWIN CITIES BLVD STE A, NICEVILLE, FL 32578-1058
(850) 729-3325
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PT31422
FL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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