| NPI | 1982403127 |
|---|---|
| Former Legal Business Name | PROAACTIVE PHYSICAL THERAPY - ATLANTA SPORTS, LLC |
| Entity Type | Organization |
| Authorized Contact | PRAVEEN PUTLUR Owner/Physical Therapist 312-502-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-31 |