Activa, LLC

NPI #1235421041 in Des Plaines, Illinois

Provider Information

NPI Number: 1235421041
Entity Type: Organization
Organization Name: Activa, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 11, 2011
Last Updated: May 11, 2011

Practice Location

Address: 2720 S RIVER RD
Address 2: SUITE 18
City: Des Plaines
State: Illinois
ZIP Code: 60018-4106
Phone: (773) 807-3517

Authorized Official

Name: MR. MARK PAULSON
Title: PRESIDENT
Phone: (773) 807-3517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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