| NPI | 1487670550 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L BASTEN Owner 480-706-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-07-13 |