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Organization
ACTIVE PERFORMANCE PHYSICAL THERAPY, PLLC
Active
Organization
ACTIVE PERFORMANCE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BRYAN STAUB DPT, MBA (OWNER)
(724) 986-0919
Entity
Organization
Contact information
Practice address
17396 210TH ST, CARROLL, IA 51401-8972
(724) 986-0919
(724) 705-1828
Mailing address
17396 210TH ST, CARROLL, IA 51401-8972
(724) 986-0919
(724) 705-1828
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
004651
IA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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