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Paige Mouledous

Physical Therapy Assistant in Niceville, FL. Individual provider (NPI-1).

NPI number1346136348
StatusActive
Last updated in NPPESJun 16, 2025

Details

NPI
1346136348
Entity type
Individual (NPI-1)
Name
Paige Mouledous
Sole proprietor
No
Enumeration date
Jun 16, 2025
Certification date
Jun 16, 2025
Last updated
Jun 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant27006FLYes

Practice location

550 Twin Cities Blvd
Niceville, FL 32578-1067

Phone 850-678-2004

Mailing address

220 Pines St
Niceville, FL 32578-8116

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