Organization
BACK IN MOTION SPINAL CLINIC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN HARRIS KALODISH DC (OWNER)
(954) 748-1004
Entity
Organization
Contact information
Practice address
2704 N UNIVERSITY DR, SUNRISE, FL 33322-2435
(954) 748-1004
Mailing address
2704 N UNIVERSITY DR, SUNRISE, FL 33322-2435
(954) 748-1004
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH0007076
FL
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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