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Organization
PROACTIVE PHYSICAL THERAPY LLC
Active
Organization
PROACTIVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON RECTOR PT (OWNER)
(719) 535-2757
Entity
Organization
Contact information
Practice address
1808 WOODMOOR DR, MONUMENT, CO 80132-9057
(719) 535-2757
(719) 535-2767
Mailing address
9320 GRAND CORDERA PKWY STE 125, COLORADO SPRINGS, CO 80924-7011
(719) 535-2757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000161434
—
CO
Enumeration date
09/25/2020
Last updated
09/25/2020
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