Organization
BACK IN ACTION, SAINT LUCIE PHYSICAL THERAPY LLC
Active
Organization
BACK IN ACTION, SAINT LUCIE PHYSICAL THERAPY LLC
Active
Other names
Back In Action
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SAPIO DOCUMENTO (OWNER)
(772) 408-6630
Entity
Organization
Contact information
Practice address
266 NW PEACOCK BLVD, BUILDING 2 SUITE 2-204, PORT SAINT LUCIE, FL 34986-2271
(772) 408-6630
(772) 408-6750
Mailing address
PO BOX 7666, PORT SAINT LUCIE, FL 34985-7666
(772) 408-6630
(772) 408-6750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BK845
PROVIDER TRANSACTION ACCESS NUMBER
FL
Enumeration date
09/10/2008
Last updated
04/24/2009
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