Organization
ACTIVE REHAB PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B. SCATES PT, MS, DPT (PRESIDENT/CEO)
(707) 648-3144
Entity
Organization
Contact information
Practice address
3419 BROADWAY ST, SUITE H-10, AMERICAN CANYON, CA 94503-1261
(707) 648-3144
(707) 644-0630
Mailing address
1933 BANYON CMN, LIVERMORE, CA 94550-4787
(707) 648-3144
(707) 644-0630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27031
CA
Other
Enumeration date
10/10/2006
Last updated
08/29/2014
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