Organization
ACTIVO PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D POSCH (ADMINISTRATOR)
(313) 350-3533
Entity
Organization
Contact information
Practice address
5140 COOLIDGE HWY, STE 101, ROYAL OAK, MI 48073
(313) 770-5700
Mailing address
5140 COOLIDGE HWY, STE 101, ROYAL OAK, MI 48073
(313) 770-5700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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