Back in Motion Louisiana LLC
NPI #1285013573 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1285013573
- Entity Type
- Organization
- Organization Name
- Back in Motion Louisiana LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 20, 2015
- Last Updated
- Aug 26, 2015
Practice Location
- Address
- 1414 N CAUSEWAY BLVD
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471-3104
- Phone
- (941) 685-3665
Authorized Official
- Name
- TIMOTHY ERIC BURNELL, PT
- Title
- PRESIDENT
- Phone
- (941) 685-3665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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