Organization
ACTIVE REHAB SERVICES INC
Active
Other names
Active Recovery Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA A FRAGALA (MANAGING DIRECTOR)
(304) 465-3654
Entity
Organization
Contact information
Practice address
436 CENTRAL AVE, OAK HILL, WV 25901-3009
(304) 465-3654
(304) 465-8551
Mailing address
436 CENTRAL AVE, OAK HILL, WV 25901-3009
(304) 465-3654
(304) 465-8551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001707473
MOUNTAIN STATE BC/BS
WV
01
—
1043802
WV WORKERS COMPENSATION
WV
Enumeration date
11/29/2005
Last updated
02/03/2011
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