Organization
BACK IN MOTION CAPE CORAL LLC
Active
Organization
BACK IN MOTION CAPE CORAL LLC
Active
Other names
Back in Motion Sport & Spine Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LEN GRAY PT DPT (AUTHORIZED OFFICIAL / OWNER)
(219) 669-1670
Entity
Organization
Contact information
Practice address
2546 HEYDON LN STE 4, CAPE CORAL, FL 33991-3550
(239) 223-0484
(239) 790-0969
Mailing address
9400 GLADIOLUS DR STE 100, FORT MYERS, FL 33908-6698
(239) 223-0484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
06/13/2024
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