NPI | 1407005812 |
---|---|
Doing Business As | BACK IN ACTION |
Entity Type | Organization |
Authorized Contact | MARK SAPIO DOCUMENTO Owner 772-408-6630 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt20821) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2009-04-24 |