Organization
BACK IN ACTION, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ROSS DAVIS P.T. (PRESIDENT)
(954) 577-9370
Entity
Organization
Contact information
Practice address
10189 W SUNRISE BLVD, PLANTATION, FL 33322-7617
(954) 577-9370
(954) 577-9350
Mailing address
10189 W SUNRISE BLVD, PLANTATION, FL 33322-7617
(954) 577-9370
(954) 577-9350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0002416
FL
Other
Enumeration date
08/07/2006
Last updated
08/29/2007
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