| NPI | 1982045001 |
|---|---|
| Doing Business As | ACTIVE PHYSICAL THERAPY - ISHPEMING |
| Entity Type | Organization |
| Authorized Contact | LESLIE L HARTMAN Business Manager 1906-869-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501009086) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2020-01-02 |