| Pro Vita Physical Therapy Llc | |
|
411 Racetrack Rd Ne, Fort Walton Beach, FL 32547-2503 | |
| (850) 331-3017 | |
| (855) 978-1838 |
| Full Name | Pro Vita Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 411 Racetrack Rd Ne, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841944535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Vita Physical Therapy Llc 638 N Ferdon Blvd Ste 1, Crestview, FL 32536-2170 Ph: (850) 331-3017 | Pro Vita Physical Therapy Llc 411 Racetrack Rd Ne, Fort Walton Beach, FL 32547-2503 Ph: (850) 331-3017 |
Kena Nichole Fought, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 Titan Ct Ste 102, Fort Walton Beach, FL 32547 Phone: 251-363-2703 Fax: 251-363-2703 | |
Nicole Anderson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Mar Walt Drive, Ste 104, Fort Walton Beach, FL 32547 Phone: 850-863-4747 | |
Meiling Brownfield, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Mar Walt Dr Ste 104, Fort Walton Beach, FL 32547 Phone: 850-863-4747 | |
Dr. Ruben Jonathan Ruiz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-315-9310 | |
Alison Barnes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Hollywood Blvd Sw Ste 7, Fort Walton Beach, FL 32548 Phone: 850-432-1596 | |
Edward Paul Meadors Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Hospital Rd, Fort Walton Beach, FL 32547 Phone: 850-563-8129 Fax: 850-314-6364 | |
Devon N Jernigan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 |