Organization
ACTIVE LIFE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAYNA WEARY (VICE PRESIDENT)
(928) 778-2227
Entity
Organization
Contact information
Practice address
955 BLACK DRIVE, PRESCOTT, AZ 86305
(928) 778-2227
(928) 771-9159
Mailing address
980 WILLOW CREEK RD, #104, PRESCOTT, AZ 86301
(928) 778-2227
(928) 771-9159
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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