Organization
ACTIVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MARITATO (PT)
(513) 420-9999
Entity
Organization
Contact information
Practice address
8356 CHARING LN, GLEN ALLEN, VA 23059-5389
(973) 980-2685
Mailing address
8356 CHARING LN, GLEN ALLEN, VA 23059-5389
(973) 980-2685
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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