Organization
ACTIVE ABILITIES LLC
Active
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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