Organization
PROACTIVE PHYSICAL THERAPY AND WELLNESS
Active
Other names
Altus Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WAGNER (DPT)
(910) 987-4274
Entity
Organization
Contact information
Practice address
216 N WOODLAND BLVD, DELAND, FL 32720-4219
(386) 327-5284
Mailing address
630 W RICH AVE, DELAND, FL 32720-4051
(910) 987-4274
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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