| NPI | 1477167898 |
|---|---|
| Doing Business As | BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | SCOTT LEN GRAY Authorized Official / Owner 219-669-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2024-06-13 |