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Contact Information

BACK TO MOTION SPORTS REHAB AND FITNESS
435 WILLARD AVE
SUITE B
NEWINGTON, CT06111-2318
 Phone: 860-665-0826
 Fax: 860-665-0826
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK TO MOTION SPORTS REHAB AND FITNESS

NPI Number 1093254880
LBN Legal business name BACK TO MOTION SPORTS REHAB AND FITNESS
Authorized official BRADLEY VISCONTI - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2017
Last updated 02/14/2017 - About 9 years ago
Identifiers
CT License # 2055
CT Other 1679018600 SOLE PROPRIETOR NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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