Back in Form Physical Therapy Inc.

NPI #1518247873 in Vero Beach, Florida

Provider Information

NPI Number: 1518247873
Entity Type: Organization
Organization Name: Back in Form Physical Therapy Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Aug 18, 2011
Last Updated: Aug 18, 2011

Practice Location

Address: 4445 HIGHWAY A1A
Address 2: SUITE 125
City: Vero Beach
State: Florida
ZIP Code: 32963-5405
Phone: (772) 231-3676

Authorized Official

Name: MICHAEL HAUSER
Title: OWNER/PHYSICAL THERAPIST
Phone: (772) 231-3676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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