Organization
ACTIVE PHYSICAL THERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA M SANTOS PT (MEMBER)
(231) 878-4787
Entity
Organization
Contact information
Practice address
216 MUNSON AVE STE B, TRAVERSE CITY, MI 49686-3099
(231) 947-3144
(231) 947-0415
Mailing address
216 MUNSON AVE STE B, TRAVERSE CITY, MI 49686-3099
(231) 947-3144
(231) 947-0062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009009
MI
Other
Enumeration date
05/13/2010
Last updated
01/14/2022
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