| NPI | 1538259585 |
|---|---|
| Doing Business As | PHYSICIANS NECK & BACK CLINICS |
| Entity Type | Organization |
| Authorized Contact | MARK J THIBAULT Owner 320-253-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |