| NPI | 1952555609 |
|---|---|
| Doing Business As | ACTIVE HEALTH PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TANYA LEIGH MACLEOD President 310-994-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 32763) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: CA 32763) |
| 2251S0007X Physical Therapist, Sports (Licence: CA 32763) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2013-02-19 |