| Doctor Name: | CAROLYN M VLASS |
| NPI Number: | 1225341928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT25681 |
| Business Practice Address: | 728 N Ferdon Blvd Ste #3 Crestview, FL - 325362155 |
| Business Phone Number: | 8506827772 |
| Business Fax Number: | 8506821539 |
| Mailing Address: | Po Box 1772, CRESTVIEW |
| State: | FL |
| Postal Code: | 325367772 |
| Phone Number: | 8506827772 |
| Fax Number: | 8506821539 |
| NPI Enumeration Date: | 07/22/2010 |
| NPI Last Update Date: | 04/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT25681 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |