| NPI | 1003204942 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SERENA LEWIS Administrator 520-829-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |