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1235421041
ACTIVA, LLC
DES PLAINES, IL
NPI
1235421041
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Entity Type
Organization
Authorized Contact
MARK PAULSON
President
773-807-3517
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
ACTIVA, LLC
2720 S RIVER RD SUITE 18
DES PLAINES, IL 60018-4106
Phone number: 773-807-3517
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Mailing Address
ACTIVA, LLC
2720 S RIVER RD SUITE 18
DES PLAINES, IL 60018-4106
Phone number: 773-807-3517
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