| NPI | 1124225008 |
|---|---|
| Doing Business As | BACK IN ACTION PAIN THERAPY |
| Entity Type | Organization |
| Authorized Contact | KEITH W FANDRY Clinical Director 480-513-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-07-28 |