Organization
ACTIVE LIFE PHYSICAL THERAPY, INC.
Active
Other names
Active Physical Therapy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN JASON WILKINS DPT (PRESIDENT)
(323) 481-4697
Entity
Organization
Contact information
Practice address
5065 HOLLYWOOD BLVD, SUITE 201, LOS ANGELES, CA 90027-6122
(323) 481-4697
Mailing address
5065 HOLLYWOOD BLVD STE 201, LOS ANGELES, CA 90027-6122
(323) 665-7675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
02/27/2025
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