Active Body Active Life, LLC

NPI #1619434735 in Coppell, Texas

Provider Information

NPI Number: 1619434735
Entity Type: Organization
Organization Name: Active Body Active Life, LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Feb 25, 2019
Last Updated: Feb 25, 2019

Practice Location

Address: 600 S DENTON TAP RD STE 134
City: Coppell
State: Texas
ZIP Code: 75019-4551
Phone: (214) 210-0715

Authorized Official

Name: TULSI N DESAI, MPT
Title: CEO
Phone: (734) 730-4715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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