Active for Life Rehabilitation, LLC
NPI #1639410384 in Saint Johns, Florida
Provider Information
- NPI Number
- 1639410384
- Entity Type
- Organization
- Organization Name
- Active for Life Rehabilitation, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 5, 2013
- Last Updated
- Jul 21, 2014
Practice Location
- Address
- 4164 LONICERA LOOP
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-4531
- Phone
- (904) 891-1179
Authorized Official
- Name
- DR. GEOFFREY GRAEME ANGELL, PT
- Title
- MANAGER
- Phone
- (904) 891-1179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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