Organization
ACTIVE SPORTS REHAB PHYSICAL THERAPY, INC.
Active
Other names
Active Sports Rehab Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BOLLIER (BUSINESS MANAGER)
(562) 650-5294
Entity
Organization
Contact information
Practice address
6850 LINCOLN AVE STE 205, BUENA PARK, CA 90620-4180
(714) 527-9240
(714) 527-9230
Mailing address
6850 LINCOLN AVE STE 205, BUENA PARK, CA 90620-4180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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