| Organization Name: | SOUTH WALTON PHYSICAL THERAPY AND REHABILITATION, INC |
| NPI Number: | 1497810535 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID V MONTELEONE (CEO) |
| Mailing Address: | 4942 Us Highway 98 W Ste 6 Santa Rosa Beach |
| State: | FL US |
| Postal Code: | 324594092 |
| Phone Number: | 8502679010 |
| Fax Number: | 8502670677 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3883 |
| 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 |