Organization
LIVE GRACEFULLY PHYSIO AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE PEARCE DPT (PHYSICAL THERAPIST)
(814) 322-7476
Entity
Organization
Contact information
Practice address
6470 SHADOW CREEK TRAIL, APT 5204, MELBOURNE, FL 32940
(814) 322-7476
Mailing address
6470 SHADOW CREEK TRAIL, APT 5204, MELBOURNE, FL 32940
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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