Organization
PRO-ACTIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LYNCH (MANAGER)
(512) 712-5348
Entity
Organization
Contact information
Practice address
9004 WILDRIDGE DR, AUSTIN, TX 78759-7333
(512) 712-5348
Mailing address
9004 WILDRIDGE DR, AUSTIN, TX 78759-7333
(512) 712-5348
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
WPT21930A
CA
Other
Enumeration date
03/28/2007
Last updated
11/09/2012
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