| NPI | 1023539210 |
|---|---|
| Doing Business As | BACK TO LIFE |
| Entity Type | Organization |
| Authorized Contact | COLLEENA SEIN-COLON Practice Manager 415-538-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |