Organization
ACTIVE LIFE REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK TIMOTHY CRISLER OTR (VISE PRESIDENT)
(352) 860-2222
Entity
Organization
Contact information
Practice address
3589 E GULF TO LAKE HWY, INVERNESS, FL 34453-3208
(352) 860-2222
(352) 860-2223
Mailing address
3589 E GULF TO LAKE HWY, INVERNESS, FL 34453-3208
(352) 860-2222
(352) 860-2223
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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