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Organization

ACTIVE LIFE THERAPIES LLC

Active
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Organization

ACTIVE LIFE THERAPIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY O DANN (OWNER/CEO)
(716) 510-2470
Entity
Organization

Contact information

Practice address
2776 DELAWARE AVE, KENMORE, NY 14217-2740
(716) 332-0404
(716) 871-1998
Mailing address
2776 DELAWARE AVE, KENMORE, NY 14217-2740
(716) 332-0404
(716) 871-1998

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL

Other

Enumeration date
02/21/2017
Last updated
02/21/2017
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