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 |