Organization Name: | BACK TO LIFE REHAB, INC. |
NPI Number: | 1164571204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN RICHMAN (PRESIDENT) |
Mailing Address: | 110 Vista Centre Dr Suite 8 Forest |
State: | VA US |
Postal Code: | 245512600 |
Phone Number: | 4343854900 |
Fax Number: | 4343857100 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305006244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |