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Organization
BACK TO BASICS CHIROPRACTIC AND SPORTS REHABILITATION LLC
Active
Organization
BACK TO BASICS CHIROPRACTIC AND SPORTS REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN IMHOFF D.C. (OWNER)
(386) 871-1174
Entity
Organization
Contact information
Practice address
800 STERTHAUS DR, SUITE A, ORMOND BEACH, FL 32174-5132
(386) 310-4884
(386) 872-7647
Mailing address
800 STERTHAUS DR, SUITE A, ORMOND BEACH, FL 32174-5132
(386) 310-4884
(386) 872-7647
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9482
FL
Other
Enumeration date
08/19/2014
Last updated
02/19/2019
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