| NPI | 1073542064 |
|---|---|
| Doing Business As | ACTIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY MOCNY President 805-687-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |