| NPI | 1003075441 |
|---|---|
| Other Name | BACK IN ACTION REHAB |
| Entity Type | Organization |
| Authorized Contact | JAMES G GENGELBACH Owner 225-408-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 021832) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1192) |
| 111N00000X Chiropractor (Licence: LA 11665) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |