| NPI | 1164499323 |
|---|---|
| Former Legal Business Name | BACK IN MOTION, LLC |
| Entity Type | Organization |
| Authorized Contact | RYAN PODVIN CFO 616-840-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-04-15 |