Organization
ACTIVE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL M.E. LARSON P.T. (OWNER,PRESIDENT)
(805) 878-9868
Entity
Organization
Contact information
Practice address
1851 SHELL BEACH RD, SUITE B, SHELL BEACH, CA 93449
(805) 878-9868
(805) 556-0710
Mailing address
1851 SHELL BEACH RD, SUITE B, SHELL BEACH, CA 93449
(805) 878-9868
(805) 556-0710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21474
CA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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