| NPI | 1437587755 |
|---|---|
| Doing Business As | ACTIVERX PINNACLE PEAK |
| Entity Type | Organization |
| Authorized Contact | ROSEANNE VARNER Owner/President 702-379-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-11-26 |