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Organization

ACTIVE PHYSICAL THERAPY, INC.

Active
Other names
Active Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM RAYMOND VANWYE PT (OFFICER, DIRECTOR)
(614) 850-0500
Entity
Organization

Contact information

Practice address
5551 HILLIARD ROME OFFICE PARK, HILLIARD, OH 43026-7287
(614) 850-0500
(614) 850-0540
Mailing address
PO BOX 1267, HILLIARD, OH 43026-6267
(614) 850-0500
(614) 850-0540

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011509
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0053207
OH
Enumeration date
07/20/2010
Last updated
03/02/2014
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