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1730696824
ACTIVENW, LLC
COEUR D ALENE, ID
NPI
1730696824
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Entity Type
Organization
Authorized Contact
HANNAH MORRIS
Managing Owner
208-215-2210
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-01-10
Last Update Date
2020-03-12
Business Address
ACTIVENW, LLC
301 N 3RD ST
COEUR D ALENE, ID 83814
Phone number: 208-772-8557
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Mailing Address
ACTIVENW, LLC
301 N 3RD ST
COEUR D ALENE, ID 83814-2861
Phone number: 208-215-2210
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