Active Life Physical Therapy Ltd
NPI #1326421074 in Rolling Meadows, Illinois
Provider Information
- NPI Number
- 1326421074
- Entity Type
- Organization
- Organization Name
- Active Life Physical Therapy Ltd
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 30, 2015
- Last Updated
- Jun 30, 2015
Practice Location
- Address
- 3620 EDISON PL
- City
- Rolling Meadows
- State
- Illinois
- ZIP Code
- 60008-1037
- Phone
- (847) 323-7001
Authorized Official
- Name
- MR. CONSTANTINE BOLOS, PT
- Title
- PRESIDENT
- Phone
- (847) 323-7001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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