NPI | 1245425685 |
---|---|
Doing Business As | BACK IN ACTION |
Entity Type | Organization |
Authorized Contact | JOSHUA ADAM DAVIS Owner 561-638-7455 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 23476) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT19193) |
225X00000X Occupational Therapist | |
Enumeration Date | 2007-09-10 |
Last Update Date | 2013-08-21 |