| NPI | 1053776559 |
|---|---|
| Doing Business As | ACTIVERX DTC |
| Entity Type | Organization |
| Authorized Contact | MARQUTIA H CATALLO-MADRUGA Managing Partner 303-773-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO CO.PTL8977) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |