Organization
ACTIVE THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJASINGH JOHNSON PT (OWNER)
(734) 246-2130
Entity
Organization
Contact information
Practice address
13245 NORTHLINE RD, SOUTHGATE, MI 48195-1070
(734) 246-2130
(734) 246-3545
Mailing address
13245 NORTHLINE RD, SOUTHGATE, MI 48195-1070
(734) 246-2130
(734) 246-3545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/24/2006
Last updated
09/19/2007
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