Organization
ACTIVE FUNCTIONING TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ZMUDA (OWNER)
(734) 752-0742
Entity
Organization
Contact information
Practice address
7550 SLOAN ST, TAYLOR, MI 48180-2412
(734) 752-0742
Mailing address
7550 SLOAN ST, TAYLOR, MI 48180-2412
(734) 752-0742
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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