| 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 |