| NPI | 1851729594 |
|---|---|
| Doing Business As | ACTIVERX - PLANO |
| Entity Type | Organization |
| Authorized Contact | MARK R WILLIS Owner/President 214-402-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |