| NPI | 1487087540 |
|---|---|
| Doing Business As | PROACTIVE HEALTH PC |
| Entity Type | Organization |
| Authorized Contact | AMY M GOMB Administrator 970-259-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |