Organization
ACTIVE LIFE CHIROPRACTIC AND SPORTS INJURY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR BEVANS (OWNER)
(207) 232-5019
Entity
Organization
Contact information
Practice address
980 FOREST AVE STE 204, PORTLAND, ME 04103-3336
(207) 232-5019
Mailing address
50 WOODRIDGE DR, STEEP FALLS, ME 04085-6859
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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