Organization
ACTIVE LIFE PHYSICAL THERAPY AND INJURY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TODD (AUTHORIZED OFFICIAL)
(435) 523-3378
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DRIVE, STE 260, ST. GEORGE, UT 84790
(435) 523-3378
(435) 523-3376
Mailing address
PO BOX 910898, ST. GEORGE, UT 84791-0898
(435) 523-3799
(435) 523-3376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
12/19/2024
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