| NPI | 1477653780 |
|---|---|
| Doing Business As | ACTIVE PHYSICAL THERAPY & PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | KHALED HUSSEIN President 708-715-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070006948) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-03-09 |