| NPI | 1497300073 |
|---|---|
| Doing Business As | PRO-ACTIVE PHYSICAL THERAPY SHERIDAN |
| Entity Type | Organization |
| Authorized Contact | SHAWNA LAWHON Admin Director 501-776-1885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |