| NPI | 1194802306 |
|---|---|
| Doing Business As | BACK ON TRACK |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE RANDA President 760-256-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 28176) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT 25062) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |