Organization
BACK 2 MOTION REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICTE HANQUET (OWNER)
(314) 442-6249
Entity
Organization
Contact information
Practice address
7873 HIGHWAY N, DARDENNE PRAIRIE, MO 63368-6704
(636) 229-1777
(636) 229-1776
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 441-0482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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