Organization
ACTIVE LIFE PHYSICAL THERAPY
Active
Organization
ACTIVE LIFE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DOLAN FITTIN PT (OWNER)
(813) 345-4558
Entity
Organization
Contact information
Practice address
21756 SR 54, SUITE 102, LUTZ, FL 33549
(813) 345-4558
(813) 949-1741
Mailing address
21756 SR 54, SUITE 102, LUTZ, FL 33549
(813) 345-4558
(813) 949-1741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/02/2010
Last updated
03/18/2013
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