Organization
BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY LLC
Active
Organization
BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GRAY DPT (OWNER/FOUNDER)
(239) 223-0484
Entity
Organization
Contact information
Practice address
9400 GLADIOLUS DR STE 100, FORT MYERS, FL 33908-6698
(239) 223-0484
(239) 790-0969
Mailing address
9400 GLADIOLUS DR STE 100, FORT MYERS, FL 33908-6698
(239) 223-2484
(239) 790-0969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30740
FL
2251S0007X
Sports Physical Therapist
30740
FL
Other
Enumeration date
08/24/2017
Last updated
06/12/2024
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