| NPI | 1730809864 |
|---|---|
| Doing Business As | ACTIVE FITNESS AND PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMANDA STREETER Vice President 800-699-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-11-18 |