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Organization
ACTIVE SPORTS REHAB PHYSICAL THERAPY, INC.
Active
Organization
ACTIVE SPORTS REHAB PHYSICAL THERAPY, INC.
Active
Other names
Active Sports Rehab Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BOLLIER (BUSINESS MANAGER)
(562) 650-5294
Entity
Organization
Contact information
Practice address
6850 LINCOLN AVE STE 205, BUENA PARK, CA 90620-4180
(714) 527-9240
(714) 527-9230
Mailing address
6850 LINCOLN AVE STE 205, BUENA PARK, CA 90620-4180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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