Active Outpatient Therapy LLC

NPI #1023476173 in Madison Heights, Michigan

Provider Information

NPI Number
1023476173
Entity Type
Organization
Organization Name
Active Outpatient Therapy LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Feb 4, 2016
Last Updated
Feb 4, 2016

Practice Location

Address
520 E 12 MILE RD
Address 2
SUITE - B
ZIP Code
48071-2517
Phone
(248) 952-9052

Authorized Official

Name
MR. STARVOS TOMA
Title
PRESIDENT
Phone
(248) 952-9052

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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