| NPI | 1174670640 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMANDA WHITE Office Manager 520-797-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5840) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 3981) |
| 225100000X Physical Therapist (Licence: AZ 4077) | |
| 225100000X Physical Therapist (Licence: AZ 6883) | |
| 225100000X Physical Therapist (Licence: AZ 3289) | |
| 225100000X Physical Therapist (Licence: AZ 5642) | |
| 225100000X Physical Therapist (Licence: AZ 1853) | |
| 225500000X Specialist/Technologist (Licence: AZ P52-7733671) | |
| 225X00000X Occupational Therapist (Licence: AZ 0342) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-04-20 |