Proactive Pt LLC

NPI #1063281145 in Bronx, New York

Provider Information

NPI Number: 1063281145
Entity Type: Organization
Organization Name: Proactive Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 29, 2023
Last Updated: Dec 29, 2023

Practice Location

Address: 1480 WILLIAMSBRIDGE RD
City: Bronx
State: New York
ZIP Code: 10461-2505
Phone: (214) 606-4154

Authorized Official

Name: SURUCH RASHMIKANT PATEL, PT
Title: HOME HEALTH PHYSICAL THERAPIST
Phone: (214) 606-4154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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