| NPI | 1205921202 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERAPY - MARANA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BASTEN Owner 480-689-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-05-05 |