Organization
BACK IN MOTION SPECIALTY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GRAY (OWNER)
(239) 223-0484
Entity
Organization
Contact information
Practice address
9724 COMMERCE CENTER CT STE B, FORT MYERS, FL 33908-3865
(239) 223-0484
(239) 790-0969
Mailing address
9724 COMMERCE CENTER CT STE B, FORT MYERS, FL 33908-3865
(239) 223-0484
(239) 790-0969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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