NPI | 1922556307 |
---|---|
Doing Business As | LIV ACTIVE THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | GYASI AZPEITIA Owner 786-332-2672 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 174400000X Specialist (Licence: FL OT11017) |
261QM1300X Clinic/Center Multi-Specialty (Licence: FL OT11017) | |
261QR0400X Clinic/Center Rehabilitation (Licence: FL OT11017) | |
Enumeration Date | 2016-09-14 |
Last Update Date | 2023-05-01 |