Organization
ACTIVA PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR SHARMA PT, DPT (OWNER/PHYSICAL THERAPIST)
(269) 806-8408
Entity
Organization
Contact information
Practice address
1935 SPRINGBROOK SQUARE DR, SUITE 105, NAPERVILLE, IL 60564-5947
(269) 806-8408
Mailing address
1935 SPRINGBROOK SQUARE DR, SUITE 105, NAPERVILLE, IL 60564-5947
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.020870
IL
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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