Organization
BACK TO LIFE PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARIK RASHAD CHASE P.T. (OWNER)
(202) 425-8245
Entity
Organization
Contact information
Practice address
315 V ST NE, WASHINGTON, DC 20002-1411
(202) 425-8245
Mailing address
315 V ST NE, WASHINGTON, DC 20002-1411
(202) 425-8245
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
20977
MD
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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