The Center for Total Back Care, Plc

NPI #1194850263 in Mesa, Arizona

Provider Information

NPI Number: 1194850263
Entity Type: Organization
Organization Name: The Center for Total Back Care, Plc
Primary Specialty: Physical Therapist
Enumeration Date: Feb 22, 2007
Last Updated: Jun 10, 2008

Practice Location

Address: 2220 S COUNTRY CLUB DR
Address 2: SUITE 102
City: Mesa
State: Arizona
ZIP Code: 85210-6808
Phone: (480) 633-8293

Authorized Official

Name: DR. B. JEFFREY JOLLEY, D.C.
Title: PARTNER
Phone: (480) 633-8293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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