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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