Organization
BACK IN MOTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RED (OWNER)
(310) 952-1000
Entity
Organization
Contact information
Practice address
23517 MAIN ST, SUITE 115, CARSON, CA 90745-5251
(310) 952-1000
Mailing address
23517 MAIN ST, SUITE 115, CARSON, CA 90745-5251
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
28882
CA
Other
Enumeration date
11/15/2013
Last updated
01/08/2014
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