Provider First Line Business Practice Location Address:
2003 WILSON AVE
Provider Second Line Business Practice Location Address:
FLORIDA THERAPY SERVICES DR ROY DEAL
Provider Business Practice Location Address City Name:
PANAMA CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32405-4532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-784-0187
Provider Business Practice Location Address Fax Number:
850-784-0344
Provider Enumeration Date:
06/06/2006