Healthcare Provider Details

I. General information

NPI: 1497601330
Provider Name (Legal Business Name): ARROWS RISING PEDIATRIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 E 19TH ST
PANAMA CITY FL
32405-4742
US

IV. Provider business mailing address

1349 BUTTONSAGE AVE
PANAMA CITY FL
32405-2381
US

V. Phone/Fax

Practice location:
  • Phone: 470-231-6673
  • Fax:
Mailing address:
  • Phone: 470-231-6673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MOSER
Title or Position: OWNER
Credential: PT, PCS, CKTP
Phone: 470-231-6673