| Backtomind H | |
|
3990 Sheridan St Ste 201, Hollywood, FL 33021-3656 | |
| (954) 986-4559 | |
| (954) 986-4526 |
| Full Name | Backtomind H |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3990 Sheridan St Ste 201, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609574037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Gady Abramson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932278850 PECOS PAC ID: 7810883980 Enrollment ID: I20040225000676 |
| Provider Name | Thomas Richard Lange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952731762 PECOS PAC ID: 8426325127 Enrollment ID: I20170601000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Backtomind H 3990 Sheridan St Ste 201, Hollywood, FL 33021-3656 Ph: (954) 986-4559 | Backtomind H 3990 Sheridan St Ste 201, Hollywood, FL 33021-3656 Ph: (954) 986-4559 |
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