| NPI | 1457730467 |
|---|---|
| Doing Business As | PRO-ACTIVE PT |
| Entity Type | Organization |
| Authorized Contact | MELINDA PELOQUIN Account Manager 949-215-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT22109) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-08-27 |