Organization
BACK ON TRACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALINA FARBMAN MARTIROSYAN PT (PRESIDENT)
(847) 997-5304
Entity
Organization
Contact information
Practice address
842 HOLMES AVE, DEERFIELD, IL 60015-2749
(847) 997-5304
Mailing address
842 HOLMES AVE, DEERFIELD, IL 60015-2749
(847) 997-5304
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070009820
IL
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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