Organization
ACTIVE AGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANTONY PT (OWNER, PHYSICAL THERAPIST)
(303) 513-2918
Entity
Organization
Contact information
Practice address
8177 CODY CIR, ARVADA, CO 80005-2419
(303) 513-2918
Mailing address
8177 CODY CIR, ARVADA, CO 80005-2419
(303) 513-2918
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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