Activelife Therapy LLC

NPI #1841098050 in Gages Lake, Illinois

Provider Information

NPI Number: 1841098050
Entity Type: Organization
Organization Name: Activelife Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 4, 2025
Last Updated: Mar 4, 2025

Practice Location

Address: 34121 U.S. 45 GRAYSLAKE, IL 60030, USA
Address 2: STE 10
City: Gages Lake
State: Illinois
ZIP Code: 60030
Phone: (224) 499-4494

Authorized Official

Name: RONALD SAMANIEGO, PT
Title: OWNER
Phone: (224) 499-4494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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