Organization
BACK ON TRACK PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KIRBY (MPT)
(941) 726-5392
Entity
Organization
Contact information
Practice address
9080 WOODSTORK CT, VENICE, FL 34293-7614
(941) 412-4465
Mailing address
9080 WOODSTORK CT, VENICE, FL 34293-7614
(941) 412-4465
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
PT22716
FL
Other
Enumeration date
08/30/2010
Last updated
03/21/2013
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