| NPI | 1619152519 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMANDA WHITE Practice Manager 520-545-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2018-06-21 |