| NPI | 1568128965 |
|---|---|
| Former Legal Business Name | BACK IN THE GAME PHYSICAL THERAPY AND CHIROPRACTIC PLLC |
| Entity Type | Organization |
| Authorized Contact | DONALD A CHIAPPETTA Chiropractor 631-560-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |