Active Rehab LLC
NPI #1477540102 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1477540102
- Entity Type
- Organization
- Organization Name
- Active Rehab LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Sep 27, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2713A INDUSTRIAL DR
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109
- Phone
- (573) 634-7541
Authorized Official
- Name
- CYNTHIA LOUISE GALLATIN, OTR
- Title
- OCCUPATIONAL THERAPIST MEMBER
- Phone
- (573) 634-7541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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