| NPI | 1194309542 |
|---|---|
| Doing Business As | ACTIVE SPORTS REHAB PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHRIS BOLLIER Business Manager 562-650-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |