Organization
BACK IN MOTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA KATHRYN O'BRIEN P.T. (PHYSICAL THERAPIST)
(209) 869-0585
Entity
Organization
Contact information
Practice address
3200 SIERRA ST, SUITE A, RIVERBANK, CA 95367-2439
(209) 869-0585
(209) 869-0586
Mailing address
PO BOX 1475, RIVERBANK, CA 95367-1475
(209) 869-0585
(209) 869-0586
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 14415
CA
Other
Enumeration date
06/29/2008
Last updated
06/29/2008
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