| 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 |
| 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 |