| NPI | 1003100504 |
|---|---|
| Doing Business As | THE BACK CENTER |
| Entity Type | Organization |
| Authorized Contact | KATRINA LOPEZ Credentialing 321-541-1537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225700000X Massage Therapist | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-07-15 |