Organization
ACTIVE LIFESTYLE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY CASINO LESACA P.T. (CEO-OWNER)
(661) 803-7384
Entity
Organization
Contact information
Practice address
21957 MIKHAIL ST, SANTA CLARITA, CA 91390-5720
(661) 803-7384
(661) 263-6463
Mailing address
21957 MIKHAIL ST, SANTA CLARITA, CA 91390-5720
(661) 803-7384
(661) 263-6463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28266
CA
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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