Organization
BACK IN ACTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYDIA T. BRADLEY RPT (CLINICAL MANAGER)
(954) 480-2900
Entity
Organization
Contact information
Practice address
1801 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-1442
(954) 480-2900
(954) 480-6569
Mailing address
1801 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-1442
(954) 480-2900
(954) 480-6569
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC4139
FL
Other
Enumeration date
12/11/2006
Last updated
08/28/2007
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