# BACK PAIN CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124286158
- **Authorized official:** DR. MICHELE YVETTE HOLDING MD (PRESIDENT)
- **Authorized official phone:** (610) 495-8416

## Contact information

- **Practice address:** 100 1ST AVE, PHOENIXVILLE, PA 19460-3700
- **Practice address phone:** (610) 495-8416
- **Mailing address:** PO BOX 222, SPRING CITY, PA 19475-0222
- **Mailing address phone:** (610) 495-8416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD051973-L | PA | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 12/04/2008
