Organization
ACTIVE AT HOME SENIOR SERVICES
Active
Organization
ACTIVE AT HOME SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BREWER DPT, GCS (OWNER)
(919) 605-6105
Entity
Organization
Contact information
Practice address
3523 COURTLAND DR, DURHAM, NC 27707-5134
(919) 605-6105
Mailing address
4711 HOPE VALLEY RD STE 4F-417, DURHAM, NC 27707-5651
(919) 605-6105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/26/2022
Last updated
08/30/2023
Update your record
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