Individual
CAROLYN M VLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
728 N FERDON BLVD, STE #3, CRESTVIEW, FL 32536-2155
(850) 682-7772
(850) 682-1539
Mailing address
PO BOX 1772, CRESTVIEW, FL 32536-7772
(850) 682-7772
(850) 682-1539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25681
FL
Other
Enumeration date
07/22/2010
Last updated
04/30/2015
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