Organization
ACTIVE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN D MEJIA PT (PHYSICAL THERAPIST)
(574) 952-1457
Entity
Organization
Contact information
Practice address
14320 ROTTERDAM RD, FISHERS, IN 46037-6416
(317) 403-4160
(317) 288-4014
Mailing address
14320 ROTTERDAM RD, FISHERS, IN 46037-6416
(317) 403-4160
(317) 288-4014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011411A
IN
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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