PROACTIVE PROVIDER MANAGEMENT, LLC

COLORADO SPRINGS, CO
NPI1023474152
Doing Business AsPROACTIVE THERAPEUTIC ALLIANCE
Entity TypeOrganization
Authorized ContactSCOTT O'CONNOR
Member
805-266-4154
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies104100000X Social Worker
111N00000X Chiropractor
133N00000X Nutritionist
225X00000X Occupational Therapist
235Z00000X Speech-Language Pathologist,
Enumeration Date2016-01-05
Last Update Date2016-01-05
Business Address
PROACTIVE PROVIDER MANAGEMENT, LLC
9320 GRAND CORDERA PKWY STE 125
COLORADO SPRINGS, CO 80924-7003
Phone number: 719-535-2757
Mailing Address
PROACTIVE PROVIDER MANAGEMENT, LLC
9320 GRAND CORDERA PKWY STE 125
COLORADO SPRINGS, CO 80924-7003
Phone number: 719-535-2757