| NPI | 1386803807 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERPY |
| Entity Type | Organization |
| Authorized Contact | SERENA LEWIS Administrator 520-829-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-12-16 |