Active Physical Therapy and Wellness PC

NPI #1205869880 in Flint, Michigan

Provider Information

NPI Number: 1205869880
Entity Type: Organization
Organization Name: Active Physical Therapy and Wellness PC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5430 S SAGINAW RD
City: Flint
State: Michigan
ZIP Code: 48507-4464
Phone: (810) 694-1037

Authorized Official

Name: RICKY JOHN BASTARACHE, DPT
Title: PRESIDENT
Phone: (810) 694-1037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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