Organization
BACK IN MOTION THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANTHONY BERKOVICH P.T. (PRESIDENT)
(310) 918-0765
Entity
Organization
Contact information
Practice address
3146 CROWNVIEW DR, RANCHO PALOS VERDES, CA 90275-6414
(310) 918-0765
(310) 547-3886
Mailing address
3641 CROWN VIEW DRIVE, RPV, CA 90275-6414
(310) 918-0765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26104
CA
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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