Organization
AXIS PHYSIOTHERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BREWER (PHYSICAL THERAPIST)
(256) 749-2930
Entity
Organization
Contact information
Practice address
339 RACETRACK RD NW STE 18, FORT WALTON BEACH, FL 32547-1581
(256) 749-2930
Mailing address
519 BEACH DR, DESTIN, FL 32541-1713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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