Organization
ACTIVE ABILITIES LLC
Active
Other names
Active Abilities Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA ELAINE MCLEAN PHYSICAL THERAPIST (OWNER/SOLE MEMBER)
(907) 262-7748
Entity
Organization
Contact information
Practice address
33455 STERLING HIGHWAY, STERLING, AK 99672-1118
(907) 262-7748
(907) 262-7749
Mailing address
PO BOX 1118, STERLING, AK 99672-1118
(907) 262-7748
(907) 262-7749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
833
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021297
—
AK
Enumeration date
06/29/2009
Last updated
03/23/2016
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