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Organization
BACK 2 ACTION PHYSICAL THERAPY LLC
Active
Organization
BACK 2 ACTION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA P PARK P.T. (OWNER OPERATOR)
(563) 332-6596
Entity
Organization
Contact information
Practice address
3425 E LOCUST ST STE 101, DAVENPORT, IA 52803-3573
(563) 332-6596
(563) 888-1626
Mailing address
3425 E LOCUST ST STE 101, DAVENPORT, IA 52803-3573
(563) 332-6596
(563) 888-1626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02329
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831648153
COMMERCIAL
—
Enumeration date
10/19/2016
Last updated
09/06/2023
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