Organization
ACTIVE LIFE PHYSICAL THERAPY LTD
Active
Other names
Active Life Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CONSTANTINE BOLOS PT (PRESIDENT)
(847) 323-7001
Entity
Organization
Contact information
Practice address
3620 EDISON PL, ROLLING MEADOWS, IL 60008-1037
(847) 323-7001
Mailing address
3620 EDISON PL, ROLLING MEADOWS, IL 60008-1037
(847) 323-7001
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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