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 |