| NPI | 1225330616 |
|---|---|
| Doing Business As | ACTIVE PHYSICAL THERAPY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JASON WILKINS President 323-481-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2020-08-10 |