| NPI | 1194847988 |
|---|---|
| Doing Business As | BACK IN ACTION |
| Entity Type | Organization |
| Authorized Contact | BOB G. RICHARDSON Manager 405-751-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-07-23 |