Organization
ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC
Active
Other names
Keep Active Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GOWATY PA-C (CLINIC DIRECTOR)
(540) 785-8018
Entity
Organization
Contact information
Practice address
4117 PLANK RD, FREDERICKSBURG, VA 22407-4888
(540) 785-8018
Mailing address
4117 PLANK RD, FREDERICKSBURG, VA 22407-4888
(540) 785-8018
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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