| NPI | 1265519565 |
|---|---|
| Doing Business As | LIFEBACK SPINE REHAB CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVEN H COMINGDEER Payer Relations Mgr 612-378-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-20 |