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1396099552
PT ACTIVE CARE, PLLC
PEORIA, AZ
NPI
1396099552
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Entity Type
Organization
Authorized Contact
DENA HACKWORTH
Clinical Director
623-877-0100
Organization Subpart ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
PT ACTIVE CARE, PLLC
8914 N 91ST AVE
PEORIA, AZ 85345-8390
Phone number: 623-877-0100
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Mailing Address
PT ACTIVE CARE, PLLC
8914 N 91ST AVE 100
PEORIA, AZ 85345-8390
Phone number: 623-877-0100
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