| NPI | 1366854846 |
|---|---|
| Doing Business As | ACTIVE PERFORMANCE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE GALLEGOS Owner/ Physical Therapist 317-557-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-17 |